Dilation of ureter(s) or urethra, radiological supervision and interpretation
CPT4 code
Name of the Procedure:
Dilation of Ureter(s) or Urethra with Radiological Supervision and Interpretation
Summary
The procedure involves widening the ureter(s) or urethra using medical instruments guided by radiological imaging to ensure accuracy. This helps clear blockages or treat narrowing due to various conditions.
Purpose
The primary aim is to alleviate urinary obstructions that can cause pain, infection, or kidney damage. The expected outcome is improved urine flow and relief from related symptoms.
Indications
- Ureteral or urethral strictures (narrowing).
- Kidney stones causing blockages.
- Ureteropelvic junction obstruction.
- Urinary infections due to restricted flow.
- Conditions like urethral stenosis.
Preparation
- Fasting for several hours before the procedure.
- Medication adjustments as advised by the physician.
- Pre-procedural imaging tests such as ultrasound, CT scan, or MRI.
Procedure Description
- The patient is positioned on the examination table.
- Local anesthesia or sedation is administered for comfort.
- A contrast dye is injected to visualize the urinary tract via X-rays.
- A fine medical instrument, such as a balloon catheter, is inserted through the urethra to the site of the stricture.
- The instrument is used to dilate or widen the narrowed area.
- Continuous radiological imaging ensures precise manipulation and successful dilation.
- The instrument is removed, and final images are taken to confirm the results.
Duration
Typically, the procedure takes about 30 minutes to an hour.
Setting
The procedure is performed in a hospital radiology department or an outpatient surgical center.
Personnel
- Radiologist and/or urologist.
- Radiologic technologists.
- Nurses or clinical assistants.
- Anesthesiologist or sedation nurse.
Risks and Complications
- Infection.
- Bleeding.
- Perforation of the ureter or urethra.
- Reaction to contrast dye.
- Temporary discomfort or pain post-procedure.
Benefits
- Immediate relief from urinary obstruction.
- Reduction in infections and related complications.
- Improved kidney function and overall urinary health.
Recovery
- Patients can typically go home the same day.
- Mild discomfort or blood in the urine is normal and should resolve in a few days.
- Avoid strenuous activities for a few days.
- Follow-up appointments to monitor healing and ensure the procedure's success.
Alternatives
- Ureteral or urethral stenting.
- Surgical repair (open or laparoscopic).
- Endoscopic laser procedures.
- Pros and cons vary based on the specific condition, patient health, and urgency.
Patient Experience
During the procedure, patients may feel slight pressure but anesthesia minimizes pain. Post-procedure discomfort is usually mild and manageable with prescribed pain relief. Comfort measures include plenty of fluids and rest.