The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on retrograde urethral sphincterometry.

The guidance was considered for reassessment in November 2010 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.


The aim of this procedure is to test urethral function and may have a role in the diagnosis of stress urinary incontinence.

The procedure involves placing a cone-shaped device around 5 mm into the external urethral meatus. The device then infuses fluid at a controlled rate into the urethra. The pressure required to open the urethral sphincter is displayed on the device; urethral opening pressure is the pressure at which the measurement reading plateaus.

Coding recommendations

U26.8 Other specified diagnostic testing of genitourinary system  

Y44.2 Monitoring of pressure in organ NOC

Z42.5 Urethra NEC