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Dilation of the female urethra is a medical procedure aimed at treating a narrowing or stricture of the urethra, which can occur due to various factors such as injury, scarring, congenital anomalies, or other underlying conditions. The procedure involves the careful cleansing of the urethral opening to prepare for intervention. To ensure patient comfort, a local anesthetic is applied, which can be administered in the form of a suppository, jelly, or liquid to numb the urethra. In some cases, general anesthesia or conduction anesthesia (such as spinal anesthesia) may be utilized instead. During the procedure, a series of tubes or dilators are introduced through the urethral opening, extending to the urethrovesical junction, with the goal of increasing the diameter of the narrowed segment of the urethra. A urethroscope may be employed to assist in guiding the dilators accurately. After the dilation is completed, a catheter may be inserted and left in place to facilitate bladder drainage. It is important to note that CPT® Code 53661 is specifically designated for subsequent dilation procedures performed under local anesthesia, while CPT® Code 53660 is used for initial dilation, and CPT® Code 53665 is applicable for dilation procedures performed under general or conduction anesthesia.
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