N35.01 Post-traumatic urethral stricture, male

Name of the Condition

• Post-traumatic urethral stricture, male

Summary

Post-traumatic urethral stricture, male, refers to the narrowing of the male urethra due to scarring from a prior injury. This condition can obstruct urine flow and lead to urinary symptoms.

Causes

The condition typically results from trauma to the urethra, such as pelvic fractures, straddle injuries, or penetrating wounds. Previous surgical procedures or instrumentation of the urethra may also contribute to stricture formation.

Risk Factors

• History of pelvic or urethral trauma
• Prior urethral surgery or catheterization
• Repeated urinary tract infections
• Prolonged catheter use

Symptoms

• Difficulty initiating urination
• Weak or intermittent urine stream
• Increased urinary frequency or urgency
• Painful urination
• Urinary retention or incomplete bladder emptying

Diagnosis

Diagnosis involves a physical examination and may include urethroscopy to visualize the stricture, uroflowmetry to assess urine flow, or imaging studies like retrograde urethrogram to evaluate the narrowing.

Treatment Options

• Dilation: Gradual widening of the stricture using instruments.
• Urethrotomy: Endoscopic procedure to cut the stricture.
• Urethroplasty: Surgical reconstruction to permanently correct the stricture.

Prognosis and Follow-Up

With appropriate treatment, symptoms often improve, but recurrence is possible. Regular follow-up is recommended to monitor for stricture recurrence or complications.

Complications

• Urinary tract infections
• Urinary retention
• Kidney damage from prolonged obstruction
• Erectile dysfunction (rare)

Lifestyle & Prevention

• Avoid activities that risk pelvic or urethral injury.
• Prompt treatment of urethral injuries may reduce stricture risk.
• Follow post-procedure care instructions after urethral surgery or catheterization.

When to Seek Professional Help

Seek medical attention if you experience difficulty urinating, pain during urination, or signs of urinary retention, such as inability to empty the bladder.

Tips for Medical Coders

Document the traumatic event leading to the stricture, including the type and location of injury. Specify if the stricture is related to a fracture, surgery, or other trauma. Ensure the diagnosis aligns with clinical findings and imaging results.