CPT® Code 53605

Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia

The procedure described by CPT® Code 53605 involves the dilation of a urethral stricture or the vesical neck in male patients. This is a surgical intervention performed under general or conduction (spinal) anesthesia, ensuring that the patient is adequately sedated and pain-free during the procedure. The male patient is positioned in a dorsal lithotomy position, which allows for optimal access to the urethra. Prior to the procedure, the penis and scrotum are meticulously prepared and draped to maintain a sterile environment. The dilation process itself is carried out using specialized instruments known as urethral sounds or S-curve urethral dilators. These instruments are introduced into the urethra in a sequential manner, starting with smaller sizes and gradually increasing in thickness. This careful and methodical approach aims to widen the narrowed area of the urethra or vesical neck, thereby alleviating any obstruction. Following the dilation, a catheter is placed transurethrally to facilitate urine drainage and support the healing process. This procedure is essential for patients suffering from urethral strictures, which can lead to significant urinary complications if left untreated.