CPT® Code 57107

The procedure described by CPT® Code 57107 refers to a partial radical vaginectomy, which involves the surgical removal of a portion of the vaginal wall along with the adjacent paravaginal tissue. This procedure is more extensive than a simple vaginectomy, as it includes the excision of not only the vaginal wall but also the surrounding paravaginal structures, which are critical for maintaining the integrity and function of the vaginal area. The operation typically begins with an incision made across the top of the vaginal vault, followed by two longitudinal incisions—one on the anterior (ventral) side and another on the posterior (dorsal) side of the vaginal wall. These incisions extend from the top of the vaginal vault down to a point approximately 2 cm distal to the lesion being treated. The excision of the vaginal wall includes the lesion itself and a margin of healthy tissue to ensure complete removal of any potentially affected areas. Additionally, the procedure may involve transecting the bladder and rectal pillars at their attachment sites, which is essential for the complete resection of the anterior and posterior vaginal walls along with the lateral paravaginal spaces. This comprehensive approach is crucial for addressing conditions that may necessitate such an extensive surgical intervention, ensuring that all affected tissues are adequately removed to prevent recurrence or complications.