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.

  • Description

    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.


  • OPCS4.6 Code(s)

    U26.8 Other specified diagnostic testing of genitourinary system  

    Y44.2 Monitoring of pressure in organ NOC

    Z42.5 Urethra NEC

    The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.

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