№ files_lp_3_process_7_059778
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Compilation of clinical evidence, guideline recommendations, and coverage criteria concerning periurethral bulking agent injections for female stress urinary incontinence under CPT code 51715.
Procedure Code: CPT 51715
Procedure Name: Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck
Clinical Indication: Stress urinary incontinence in women
Population: Women with stress urinary incontinence
Evidence Sources: Cochrane Review (Kirchin 2012); NICE 2005; NICE 2019; American Urology Association 2017; Syan 2016; MODA 2019; Aetna 2019
Study Types Referenced: Randomized controlled trials; case series; systematic review; guideline statements
Comparators: Conservative treatment; placebo injection; surgical management; pelvic floor muscle training
Reported Outcomes: Continence rates; quality of life; patient satisfaction; adverse events; objective cure
Adverse Events Reported: Urinary tract infection; urinary retention; dysuria; abscess; urgency of micturition; prolonged pain; haemorrhage; migration of bulking agent; allergic reaction
Regulatory Reference: FDA-cleared bulking agents listed (Coaptite, Contigen, Durasphere, Macroplastique, Uryx)
Coverage Criteria: Prior conservative management; defined duration of symptoms; documented improvement after initial treatments; limitation on number of injections
Guideline Recommendations: Consider in patients unsuitable for or declining surgery; counseling on limited long-term efficacy and potential need for repeat injections
Review Date Mentioned: August 2019
Price: 8 / 10 USD
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Topics: 51715 Urethra Submucosal