CPT® Code 53665

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 may be applied in the form of a suppository, jelly, or liquid to numb the area. Alternatively, the procedure can be performed under general anesthesia or conduction (spinal) anesthesia, which provides a deeper level of sedation and pain relief. During the dilation, a series of tubes or dilators are introduced through the urethral opening and advanced to the urethrovesical junction, effectively increasing the diameter of the narrowed segment of the urethra. A urethroscope may be utilized to guide the dilators accurately. After the dilation is completed, a catheter may be inserted and left in place to facilitate bladder drainage, ensuring that the patient can void comfortably during the recovery period. This procedure is coded as CPT® 53665 when performed under general or conduction anesthesia, distinguishing it from other related codes that specify different anesthesia methods or procedural contexts.