CPT® Code 57311

A urethrovaginal fistula is a pathological connection between the urethra and the vagina, which can lead to significant complications such as urinary incontinence and recurrent urinary tract infections. This condition often arises as a result of surgical trauma during procedures like anterior vaginal repair or can occur due to obstetrical trauma during vaginal delivery. The closure of a urethrovaginal fistula, specifically with the use of a bulbocavernosus transplant, is a surgical procedure aimed at repairing this abnormal connection. The procedure involves not only the closure of the fistula but also the incorporation of a muscle flap from the bulbocavernosus muscle to enhance blood supply to the affected area, which may have suffered damage from prior surgical interventions or radiation therapy. This dual approach helps to ensure a more robust healing process and reduces the risk of recurrence of the fistula. The surgical technique requires careful dissection and mobilization of tissues to achieve a successful repair while minimizing complications and promoting optimal recovery for the patient.