CPT® Code 57295

A prosthetic vaginal graft is a medical device used to provide support to the vaginal walls, particularly in cases of pelvic organ prolapse. The procedure described by CPT® Code 57295 involves the revision or removal of this graft through a vaginal approach. During the procedure, deep vaginal retractors are utilized to gain access to the vaginal apex, allowing the surgeon to thoroughly assess the condition of the graft. This assessment is crucial as it determines the appropriate course of action: whether to excise the entire mesh, remove only the eroded sections, or replace the graft entirely. The surgical process includes incising the tissue surrounding the mesh and carefully dissecting the vaginal epithelium from the endopelvic fascia. The mesh is then grasped, and tension is applied to facilitate its removal. If the vaginal support is deemed insufficient without the graft, a new prosthetic mesh may be configured and sutured into place. The procedure concludes with the closure of the endopelvic fascia and vaginal epithelium, followed by irrigation of the vagina to clear any blood and debris, and the application of vaginal packing to support the area during recovery.