Dilation of female urethra including suppository and/or instillation; initial
CPT4 code
Name of the Procedure:
Dilation of Female Urethra Including Suppository and/or Instillation; Initial
(Common names: Urethral Dilation, Urethral Stretching)
Summary
Urethral dilation is a therapeutic procedure aimed at widening the female urethra. It typically involves the insertion of suppositories or the instillation of fluids to help alleviate blockages or strictures.
Purpose
The procedure addresses conditions such as urethral strictures, which can cause difficulty in urination, urinary retention, or recurrent urinary tract infections (UTIs). The goal is to improve urinary flow and reduce associated symptoms.
Indications
- Difficulty in urination or a weak urine stream
- Recurrent urinary tract infections
- Symptoms of urinary retention
- Diagnosed urethral strictures through imaging or cystoscopy
Preparation
- No specific fasting requirements, though the healthcare provider may give individual instructions.
- Pre-procedure diagnostic tests, like a cystoscopy or imaging studies, may be conducted to assess the urethral stricture.
Procedure Description
- Initial Assessment: The patient undergoes a genital examination and reviews their medical history.
- Anesthesia: Local anesthetic or a mild sedative may be administered to minimize discomfort.
- Dilation: A series of progressively larger dilators are gently inserted into the urethra to widen it. In some cases, medical lubricants or a liquid solution may be instilled, or a suppository is placed to help with dilation.
- Post-Procedure: The area is cleaned, and the patient is monitored for immediate reactions.
Duration
Typically, the procedure takes about 15-30 minutes.
Setting
The procedure is usually performed in an outpatient clinic or a urologist's office.
Personnel
- Urologist or a trained healthcare provider
- Nurse or medical assistant
Risks and Complications
- Mild discomfort or pain during and after the procedure
- Risk of urinary tract infection
- Bleeding or spotting
- Rare risks include urethral injury or perforation
Benefits
- Improved urinary flow
- Reduction in urinary retention and frequency of UTIs
- Quick symptom relief, often within a few days
Recovery
- Mild soreness or discomfort may persist for a few days.
- It's advised to drink plenty of water to flush out the urinary system.
- Avoid heavy lifting, strenuous activities, and sexual intercourse for a brief period as advised by the healthcare provider.
- Follow-up may be scheduled to monitor progress and address any recurring symptoms.
Alternatives
- Continual observation with medication management for minor symptoms
- Permanent urethral stenting
- Surgical intervention in severe cases
- Each option has different pros and cons related to duration of relief, invasiveness, and recovery time.
Patient Experience
During the procedure, a patient may experience mild pressure or discomfort. After the procedure, discomfort similar to a mild burning sensation during urination can be expected. Pain management options will be provided, including over-the-counter pain relievers, if necessary.