CPT® Code 57240

Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed

The procedure described by CPT® Code 57240 is known as anterior colporrhaphy, which is a surgical intervention aimed at repairing a cystocele, a condition characterized by the protrusion of the bladder into the anterior wall of the vagina. This procedure may also address a urethrocele, which is the descent of the urethra, if it is present. The term 'anterior' refers to the front aspect of the vaginal wall where the surgery is performed. The procedure is typically conducted through a vaginal approach, allowing for direct access to the affected area. In cases where cystourethroscopy is indicated, it is included as part of the procedure, facilitating the examination of the bladder and urethra during the repair process. The surgical technique involves making an incision at the junction of the vaginal mucosa and cervix, followed by careful dissection to separate the vaginal mucosa from the underlying fascia. This dissection exposes the urethra and the urethrovesical angle, which is critical for the repair. The underlying fascia is then reinforced using plication sutures, effectively restoring the bladder and urethra to their normal anatomical positions. Additionally, any excessive vaginal mucosa is excised to ensure proper closure and healing. The procedure concludes with the closure of the vaginal mucosa in the midline and the placement of a Foley or suprapubic catheter to facilitate urinary drainage postoperatively.