CPT® Code 57423

A paravaginal defect repair is a surgical procedure aimed at correcting a specific type of pelvic floor disorder known as a paravaginal defect. This condition arises from the loss of support provided by the arcus tendineus fascia pelvis (ATFP), which is crucial for maintaining the structural integrity of the vagina. When this support is compromised, it can lead to the prolapse of the bladder and urethra, resulting in conditions such as cystocele or cystourethrocele. The procedure is performed using a laparoscopic approach, which is a minimally invasive technique that involves making small incisions in the abdomen. This method allows for the insertion of a laparoscope—a thin, lighted tube equipped with a camera—enabling the surgeon to visualize the pelvic organs on a monitor. The laparoscopic approach not only reduces recovery time and minimizes scarring compared to traditional open surgery but also enhances precision in identifying and repairing the defect. During the procedure, if a cystocele repair is necessary, it is included as part of the overall surgical intervention. The goal of the paravaginal defect repair is to restore normal anatomical support to the pelvic organs, thereby alleviating symptoms associated with pelvic organ prolapse and improving the patient's quality of life.