CPT® Code 53452

Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and imaging guidance

The CPT® Code 53452 refers to the procedure involving the unilateral insertion of a periurethral transperineal adjustable balloon continence device. This device is specifically designed to assist men suffering from urinary incontinence, particularly following prostate surgery or radiation therapy. The primary goal of this procedure is to restore normal pelvic pressure and urinary continence, thereby improving the quality of life for patients affected by these conditions. The procedure begins with the use of a cystoscope, which is a thin tube equipped with a camera, that is inserted through the urethra into the bladder. This allows the physician to visualize the internal structures during the procedure. A sharp-tipped trocar and sheath are then utilized to create a small incision in the perineum, which is the area between the scrotum and the anus. Under fluoroscopic guidance, the trocar and sheath are carefully inserted through this incision and advanced through the pelvic floor to the bladder. Once the trocar is in place, it is replaced with a blunt-tipped trocar to facilitate further advancement. The deflated balloon device is then introduced through the sheath to the predetermined location, where it is inflated with a small volume of fluid to secure it in position. After the procedure, the sheath is removed, and the incision in the perineum is closed. This comprehensive approach ensures that the device is properly positioned to provide effective treatment for urinary incontinence.