Ureteritis Cystica (ICD: N28.86)

Name of the Condition

• Ureteritis Cystica

Summary

Ureteritis cystica is a rare condition characterized by the formation of small, fluid-filled cysts within the walls of the ureter, the duct that carries urine from the kidney to the bladder. Although it is usually benign, it can sometimes lead to complications if not monitored.

Causes

The exact cause of ureteritis cystica is not well understood, but it is often associated with chronic irritation or infection of the urinary tract. Conditions such as recurrent urinary tract infections (UTIs), long-term use of urinary catheters, and any obstruction in the ureter may contribute to the development of these cysts.

Risk Factors

• Chronic urinary tract infections
• Long-term catheterization
• Ureteral obstructions
• History of kidney stones

Symptoms

• Often asymptomatic
• Occasional hematuria (presence of blood in urine)
• Rarely, flank pain or urinary tract symptoms

Diagnosis

• Imaging tests: Ultrasound, CT scan, or MRI may reveal cysts along the ureter.
• Cystoscopy: A procedure allowing direct visualization of the urinary tract.
• Urinalysis: To check for any infections or blood in the urine.

Treatment Options

• Observation: If asymptomatic, monitoring may be sufficient.
• Antibiotics: For any associated infections.
• Surgical Intervention: In rare cases where significant obstruction occurs.

Prognosis and Follow-Up

Ureteritis cystica usually has a benign course, and patients often have a good prognosis with regular monitoring. However, follow-up is important to watch for potential complications such as infection or obstruction.

Complications

• Urinary obstruction
• Infection of the urinary tract
• Rare progression to malignancy, though extremely uncommon

Lifestyle & Prevention

• Ensuring prompt treatment of urinary tract infections
• Regular check-ups with a healthcare provider if there is a history of UTIs or kidney stones

When to Seek Professional Help

• Persistent or severe flank pain
• Noticeable blood in urine
• Frequent or painful urination

Additional Resources

• National Kidney Foundation: kidney.org
• American Urological Association: auanet.org

Tips for Medical Coders

• Always confirm the diagnosis with imaging reports that detail cyst formation in the ureter.
• Be cautious of coding similar conditions that affect other areas of the urinary tract.