CPT® Code 57230

The procedure described by CPT® Code 57230 refers to the plastic repair of a urethrocele, which is a condition characterized by the prolapse or bulging of the urethra into the vaginal wall. This surgical intervention is performed to restore the normal anatomical position of the urethra, which may have been compromised due to factors such as childbirth, aging, or other conditions that weaken the pelvic support structures. The procedure is conducted through a vaginal approach, allowing the physician to access the affected area directly. The use of a tenaculum on the cervix aids in stabilizing the surgical field, while a transverse incision is made to facilitate dissection and repair. The surgical technique involves careful dissection of the vaginal mucosa from the cervical fascia, ensuring that the urethra is adequately separated from surrounding tissues. The identification of the urethrovesical angle is crucial for the successful placement of plication sutures, which help to fold and secure the fascia, effectively reducing the prolapse. The procedure concludes with the closure of the vaginal mucosa and the placement of a Foley or suprapubic catheter to ensure proper urinary drainage during the initial recovery phase.