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Post-traumatic urethral stricture, male, unspecified

ICD10CM code

Name of the Condition

  • Post-traumatic Urethral Stricture, Male, Unspecified
  • Also known as: Post-traumatic urethral narrowing, Male urethral stricture after trauma

Summary

  • Post-traumatic urethral stricture in males is a condition where scarring from an injury leads to narrowing of the urethra, causing difficulty in urine flow. This disruption can significantly affect urinary health and overall quality of life.

Causes

  • This condition typically results from a traumatic event, such as pelvic fractures, straddle injuries, or previous surgical procedures affecting the urethra.

Risk Factors

  • Major risk factors include accidents leading to pelvic trauma, prior surgeries involving the pelvic region, prolonged catheterization, and infections.

Symptoms

  • Common symptoms include reduced urine flow, frequent urination, painful urination, urine retention, sudden urges to urinate, and urinary tract infections.

Diagnosis

  • Techniques for diagnosing urethral stricture include physical examination, urethroscopy, uroflowmetry, and imaging studies like retrograde urethrogram (RUG) to visualize the narrowing and assess its severity.

Treatment Options

  • Treatment may involve dilation of the urethra, catheterization, or surgical procedures such as urethroplasty. Each aims to restore normal urine flow and alleviate associated symptoms.

Prognosis and Follow-Up

  • The prognosis varies based on severity and treatment; however, most treatments provide significant relief. Regular monitoring and follow-up are necessary to prevent recurrence and manage any complications.

Complications

  • Potential complications include recurrent stricture, chronic urinary retention, infections, kidney damage, or progression to more severe urological problems if not treated.

Lifestyle & Prevention

  • Maintaining urinary health through adequate hydration and practicing safe behaviors to prevent trauma can help reduce risks. Avoiding unnecessary catheterization can also be preventive.

When to Seek Professional Help

  • Individuals should seek medical attention if they experience severe reductions in urine flow, painful urination, blood in urine, or signs of urinary retention.

Additional Resources

Tips for Medical Coders

  • Ensure accurate capture of the trauma history leading to the stricture.
  • Avoid coding generic urethral strictures without confirming the post-traumatic cause, to ensure precise recording with N35.014.

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