CPT® Code 0672T

1. Indications

The endovaginal cryogen-cooled, monopolar radiofrequency remodeling procedure is indicated for the following conditions:

• Urethral Hypermobility - A condition where the urethra is excessively mobile, contributing to urinary incontinence.
• Stress Urinary Incontinence - A type of urinary incontinence that occurs when physical activity, such as coughing, sneezing, or exercise, puts pressure on the bladder.

2. Procedure

The procedure involves several key steps to ensure effective treatment of urinary incontinence:

• Preparation - The patient is positioned comfortably, and a grounding pad is placed on a clean, dry area of skin, typically the upper outer thigh, to ensure safe delivery of RF energy. The treatment area is then prepared with a special coupling gel to facilitate good electrical contact.
• Application of Treatment Tip - A sterile, single-use treatment tip is inserted endovaginally, ensuring it is in good contact with the targeted tissue surrounding the bladder neck and proximal urethra.
• Delivery of RF Energy - The RF energy is delivered to the treatment area in a series of five passes. Each pass overlaps the previous one by approximately 50% or 0.5 cm to ensure comprehensive coverage of the targeted tissues.
• Monitoring and Adjustment - Throughout the procedure, the clinician monitors the patient's comfort and the effectiveness of the RF energy delivery, making any necessary adjustments to optimize the treatment.

3. Post-Procedure

After the procedure, patients can typically resume normal activities based on their personal tolerance and the guidance of their healthcare provider. It is important for patients to follow any specific post-procedure care instructions provided by their clinician to ensure optimal recovery and results. Patients may experience mild discomfort or temporary changes in urinary function, which should resolve as the body heals and new collagen forms in the treated area.