CPT® Code 53446

The procedure described by CPT® Code 53446 involves the removal of an inflatable urethral or bladder neck sphincter, which is a device used to treat urinary incontinence. This artificial urinary sphincter (AUS) is typically implanted to help control the flow of urine in patients who have difficulty with urinary retention. The removal process is conducted through the same incision sites that were used for the initial implantation of the device, ensuring minimal additional trauma to the surrounding tissues. During the procedure, a catheter is placed transurethrally to facilitate urine drainage. In male patients, the removal involves a midline incision in the perineum, while in female patients, it may be performed through an abdominal incision, potentially accompanied by a vaginal incision. The procedure requires careful dissection of the device components, including the cuff, tubing, and pump, to ensure complete removal without damaging surrounding structures. The tubing is clamped to prevent fluid leakage during the operation, and the incisions are subsequently closed in layers. This procedure is specifically for cases where the AUS is removed without replacement, distinguishing it from related codes that involve replacement or additional interventions.