Name of the Condition

• Post-traumatic urethral stricture, male, meatal
• Medical term: Meatal urethral stricture

Summary

Post-traumatic urethral stricture, male, meatal, refers to a narrowing of the urethra at the meatus (the urethral opening) due to injury or trauma. This condition can hinder the flow of urine and cause significant discomfort.

Causes

• Direct injury or trauma to the penile region
• Previous surgical procedures or interventions
• Catheterization or instrumentation of the urethra

Risk Factors

• History of pelvic fractures or urinary tract injuries
• Repeated catheterization or surgical procedures
• Engaging in activities that predispose to trauma in the penile area

Symptoms

• Difficulty initiating urination
• Weak or reduced urine stream
• Frequent urination or urgency
• Painful urination or discomfort in the penile area

Diagnosis

• Physical examination of the penile region
• Urethroscopy or cystoscopy to directly visualize the stricture
• Uroflowmetry to evaluate urine flow

Treatment Options

• Dilation: Gradual widening of the stricture using special instruments.
• Urethrotomy: An endoscopic procedure to cut the stricture.
• Surgical Reconstruction: Procedures like urethroplasty to permanently correct the stricture.

Each treatment option aims to restore normal urine flow and alleviate symptoms.

Prognosis and Follow-Up

• Outcomes vary; surgical interventions have a higher success rate.
• Regular follow-up is essential to monitor for recurrence, as strictures can re-develop.

Complications

• Recurrent strictures or persistent urinary difficulties
• Urinary tract infections due to incomplete bladder emptying
• Kidney damage from backpressure

Lifestyle & Prevention

• Avoid activities that might cause trauma to the genital area.
• Follow medical advice post-intervention to reduce recurrence risk.

When to Seek Professional Help

• Inability to urinate or severe pain during urination
• Noticeable reduction in urine flow rate

Additional Resources

• American Urological Association (AUA)
• Urology Care Foundation

Tips for Medical Coders

• Ensure specificity by noting the location (meatal) and cause (post-traumatic) of the stricture.
• Avoid common errors such as confusing with non-traumatic urethral strictures, which have different codes.