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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.