Name of the Condition

• Chlamydial Cystitis and Urethritis
• Also referred to as Chlamydia-induced urinary tract infection.

Summary

Chlamydial cystitis and urethritis are infections of the bladder and urethra caused by the bacterium Chlamydia trachomatis. This condition primarily affects the lower urinary tract and can lead to discomfort and urinary issues.

Causes

The condition is caused by infection with Chlamydia trachomatis. It is typically transmitted through sexual contact with an infected person.

Risk Factors

• Being sexually active, especially with multiple partners
• Having a history of sexually transmitted infections (STIs)
• Unprotected sexual intercourse
• Young age, particularly in those under 25

Symptoms

• Pain or burning sensation during urination
• Frequent urge to urinate
• Lower abdominal pain or discomfort
• Possible presence of blood in the urine
• Abnormal discharge from the genitals

Diagnosis

• Urine tests to detect the presence of chlamydia bacteria
• Swab tests from the urethra or cervix
• NAAT test (nucleic acid amplification test) for accurate identification of the bacteria

Treatment Options

• Antibiotics such as azithromycin or doxycycline are commonly used to eliminate the infection.
• Pain relievers may be prescribed to alleviate symptoms.

Prognosis and Follow-Up

• With prompt and proper antibiotic treatment, most individuals recover fully.
• Follow-up testing may be required to confirm the infection has cleared.
• Regular screenings are recommended, especially for sexually active individuals.

Complications

• If untreated, the infection can lead to pelvic inflammatory disease (PID), chronic pelvic pain, or infertility.
• Increases the risk of contracting other STIs, including HIV.

Lifestyle & Prevention

• Consistent use of condoms during sexual activity
• Regular STI screenings for sexually active individuals
• Limiting the number of sexual partners
• Encouraging sexual partners to get tested and treated if necessary

When to Seek Professional Help

• Experiencing persistent or severe symptoms like intense pain or discomfort
• Noticing any unusual discharge from the genitals
• Symptoms persist despite treatment

Additional Resources

• Centers for Disease Control and Prevention (CDC) website for STIs
• Planned Parenthood for education and testing services
• Local health departments for support and resources

Tips for Medical Coders

• Ensure accurate capture of the condition by using the complete ICD code: A56.01.
• Validate the diagnosis through patient medical records and laboratory results.
• Be aware of similar conditions to avoid miscoding, such as non-chlamydial urinary infections.