CPT® Code 53515

Urethrorrhaphy, as defined by CPT® Code 53515, refers to the surgical procedure aimed at repairing a wound or injury to the prostatomembranous urethra. This type of injury may occur due to trauma or surgical complications, necessitating a careful and precise approach to restore the integrity of the urethra. The procedure can be performed either immediately or delayed, depending on the patient's condition and the presence of other injuries. Immediate repair is often indicated when exploratory surgery is required to assess potential rectal or vascular injuries. However, in many cases, a delayed approach is preferred, allowing for the absorption of any hematoma that may have formed, which can take anywhere from 6 to 12 weeks. During the procedure, a suprapubic catheter is essential for urinary diversion and can be placed either percutaneously or through an open cystotomy. The surgical technique varies based on the timing of the repair and the specific injuries sustained by the patient. For delayed repairs, a midline perineal incision is typically made, and the bulbospongiosus muscle is divided to access the urethra. The surgeon meticulously dissects through the corpus spongiosum to locate the urethra, assesses the extent of the injury, and prepares for anastomosis. The procedure requires a thorough understanding of the anatomy and careful manipulation of surrounding structures to ensure successful repair and minimize complications.