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The Mooreville Urethrotome

CPT Code 52275 - Internal Urethrotomy
$567 per procedure (non-facility national avg.)

Used by Dr. Sijo Parekattil, recent President of the Florida Urological Society (2025).

"The Mooreville Internal Urethrotomy Set has completely changed how we treat urethral strictures in the office. By gently dilating the stricture instead of aggressively cutting, the procedure becomes more comfortable, safer, and easier for patients — all without the need for the OR."

-Dr. Sijo Parekattil, Avant Concierge Urology, Winter Garden, FL.

Set of two: 8-14F and 10-20F

X-Large: 12-26F

  1. The new urethrotome allows for easy and safe non-visual internal urethrotomy.
  2. The MU slides over a guidewire and cuts only fibrous scar. Normal urethral mucosa is protected.
  3. The flat blade protects normal urethra, which is pushed gently away during passage.
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Key Benefits

  1. Easy to use in multiple settings.
  2. Improved reimbursement for doing an office procedure. See codes below.
  3. Equivalent to DVIU, but can be done in the office, avoiding all the complications of an OR procedure.
  4. Can easily be done in an ER, when encountering a difficult Foley insertion, without the time required to set up a cystoscopy.

Method of Use

  1. Initially, after the instillation of an urethral anesthetic lubricant, a guide wire is passed into the urethra and through the stricture to the bladder. This can be done using a cystoscope or free hand with a glidewire, which turns on itself if the opening is not found and the attempt repeated.
  2. The urethrotome is loaded over the guidewire and slid gently to the stricture, which will be noted by increased resistance to the passage over the guide wire through the tactile feedback characteristic of the instrument.
  3. Normal tissue is gently pushed out of the way. Markings on the stem will help localize the depth of the stricture from the meatus.
  4. Advancing the urethrotome through the stricture will gently stretch fibrous bands, which will then be exposed to the sharp square edges of the urethrotome and divided as the urethrotome is advanced through the stricture. The 8-12 F and 10-20 F urethrotomes are enough for most strictures. They can also be used for bladder neck stenosis status post radical prostatectomy.
  5. The urethrotome can also be used to enlarge a suprapubic tract over a guide wire as well as a nephrostomy tract. References below.

Features Overview

High Quality Material

Top grade surgical steel, does not need resharpening

Both the instrument and the handle are autoclavable

The main Set

2 different sizes, 8 – 14 F and 10 – 20 F. An extra large 12-26F urethrotome is available for meatotomies to allow a 26F resectoscope.

graded in centimeters

“CM” markings on the stem of the instrument to help assess the depth of the stricture. “Double” markings at 5, 10 and 15 cm

More Control

Flexible stem with tactile feedback characteristics.

Conical head

Central hole for passage over a guidewire

Blade Height

Height of blade does not exceed circumference of the cone

Pricing

$1,599 (+$50 shipping)

For full set (2) 8-14F and 10-20F

SKU #4401

Extra large (12-26F): $799

SKU # 4402

Shipping: $50

Patent # 10,500,379

52275 – Internal Urethrotomy Code (2022)

52276 – DVIU Code (2022)

Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.

1,2,3 cms.gov

references

Suprapubic tract dilation using the Otis urethrotome. Thrasher JB, Kreder KJ. Urology. 1993 Mar; 41(3):247-8.
https://www.ncbi.nlm.nih.gov/pubmed/8442308

Percutaneous nephrostomy tract incision using a modified Otis urethrotome. Ireton RC. Urology Clinics of North Am. 1990 Feb; 17(1):195-8
https://www.ncbi.nlm.nih.gov/pubmed/2305529

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