CPT® Code 57308

Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication

The procedure described by CPT® Code 57308 involves the closure of a rectovaginal fistula using a transperineal approach, which is a surgical technique that accesses the fistula through the perineum. A rectovaginal fistula is defined as an abnormal connection between the rectum and the vagina, which can be either congenital (present at birth) or acquired later in life. Acquired fistulas may arise from various causes, including infections, traumatic injuries to the perineum during childbirth, complications from surgical procedures involving the vagina or rectum, or as a result of radiation therapy for cancer treatment. The surgical approach entails a series of meticulous steps aimed at excising the fistula and reconstructing the affected areas to restore normal anatomy and function. This procedure may also include perineal body reconstruction, which is the repair of the tissue between the vagina and rectum, and may involve levator plication, a technique used to tighten the pelvic floor muscles if necessary. The overall goal of this surgical intervention is to effectively close the fistula, promote healing, and prevent future complications, thereby improving the patient's quality of life.