CPT® Code 53860

Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence

The CPT® Code 53860 refers to a specific medical procedure known as transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra, which is performed to address stress urinary incontinence. This condition often arises due to hypermobility of the bladder neck and urethra, leading to involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, or exercise. The procedure utilizes low-temperature radiofrequency energy to effectively remodel the submucosal tissue of the bladder neck and proximal urethra. This remodeling process is designed to enhance the function of the urinary tract without causing any narrowing or thickening of the lumen, which is the inner open space of the urethra. During the procedure, a local anesthetic is administered to ensure patient comfort. A specialized transurethral probe is then inserted into the urethra, allowing for the precise application of controlled radiofrequency energy. This energy is directed to specific target sites within the lower urinary tract, where it generates heat that induces collagen denaturation at multiple small treatment sites. As the tissue heals post-procedure, the treated areas develop increased resistance to intra-abdominal pressure, which is crucial for reducing or eliminating episodes of involuntary urine leakage. Overall, this innovative approach aims to provide a minimally invasive solution for women suffering from stress urinary incontinence, improving their quality of life by addressing the underlying tissue laxity associated with the condition.