© Copyright 2026 American Medical Association. All rights reserved.
Urethromeatoplasty is a surgical procedure aimed at enlarging or reconstructing the urethral opening located at the distal tip of the penis, which is essential for facilitating urination. The urethra serves as the conduit for urine to exit the bladder and for sperm to be ejaculated, making its proper function critical for both urinary and reproductive health. Urethral narrowing, often referred to as meatal stenosis, can occur due to various factors, including scarring of the mucosal tissue resulting from irritation, inflammation, infection, or injury. In some cases, this condition may also be congenital, meaning it is present at birth. Patients experiencing urethral narrowing may present with a range of symptoms, such as painful urination, frequent urges to urinate, difficulty in completely emptying the bladder, and abnormal urine flow patterns, such as upward or sideways discharge. The procedure coded as CPT® 53460 specifically involves a Richardson type approach, where a ventral incision is made in the penis, allowing for the removal of fibrous tissue that contributes to the narrowing of the distal urethra. Following this excision, the urethral opening is repaired to restore normal function.
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