CPT® Code 57305

The CPT® Code 57305 refers to the surgical procedure known as the closure of a rectovaginal fistula using an abdominal approach. A rectovaginal fistula is an abnormal connection between the rectum and the vagina, which can lead to significant complications, including incontinence and infection. This type of fistula is often associated with severe conditions such as malignant neoplasms or as a consequence of radiation therapy, which can damage the tissues in the pelvic region. The abdominal approach is specifically utilized when the fistula is situated high in the rectum, making it more challenging to access through the vaginal route. During the procedure, a surgical incision is made in the lower abdomen to gain access to the affected area. The surgeon carefully dissects the rectovaginal septum to locate the fistula. Once identified, the fistula is divided, and the openings in both the rectum and vagina are meticulously closed using sutures to restore normal anatomy and function. This procedure is critical for alleviating the symptoms associated with rectovaginal fistulas and improving the quality of life for affected patients.