CPT® Code 64761

Deleted

The pudendal nerve plays a crucial role in controlling sensation in the perineal region, which includes the area between the genitals and the anus, the rectum, and the external genitalia. Transection or avulsion of the pudendal nerve is a surgical procedure aimed at alleviating chronic pain that may arise from various conditions affecting this nerve. During the procedure, the surgeon carefully exposes and isolates the pudendal nerve to ensure precision and minimize damage to surrounding tissues. Transection involves the surgical division of the nerve, which can be achieved by grasping the nerve and cutting it. In some cases, avulsion may be performed by twisting the nerve over a hemostat, effectively detaching it from its surrounding structures. Alternatively, the procedure may involve stretching the nerve, ligating it, and then dividing it first at the distal end followed by the proximal end, allowing the proximal segment of the nerve to retract into deeper tissues. After the nerve has been transected or avulsed, the soft tissues surrounding the area are meticulously closed in layers to promote healing and restore anatomical integrity.