CPT® Code 57330

A vesicovaginal fistula (VVF) is a pathological condition characterized by an abnormal connection between the bladder and the vagina, resulting in the involuntary discharge of urine into the vaginal canal. This condition can arise due to various factors, including surgical complications, trauma, or prolonged labor during childbirth. The closure of a vesicovaginal fistula is a surgical procedure aimed at repairing this abnormal passage to restore normal urinary function and improve the quality of life for affected individuals. The procedure can be performed using different surgical approaches, including a vaginal approach or a combined transvesical and vaginal approach, as indicated by the CPT® Code 57330. In the combined approach, the surgeon makes incisions in both the abdomen and vagina to access and excise the fistula, ensuring that surrounding scar tissue is also removed to promote optimal healing. This comprehensive method allows for effective closure of the fistula and repair of any associated defects in the bladder and vaginal walls.