N35.016 Post-traumatic urethral stricture, male, overlapping sites

Name of the Condition

• Post-traumatic urethral stricture, male, overlapping sites

Summary

Post-traumatic urethral stricture, male, overlapping sites, refers to the narrowing of the male urethra at multiple locations due to scarring from 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 necessary to monitor for stricture recurrence or complications.

Complications

• Urinary tract infections
• Kidney damage from prolonged obstruction
• Bladder dysfunction
• Inability to urinate (acute urinary retention)

Lifestyle & Prevention

• Avoid activities that increase risk of pelvic or urethral trauma.
• Use proper techniques during catheterization to minimize injury.
• Seek prompt treatment for urethral injuries to reduce scarring.

When to Seek Professional Help

Consult a healthcare provider if you experience difficulty urinating, pain during urination, or signs of urinary retention.

Tips for Medical Coders

Document the location and extent of the stricture, as well as any contributing trauma or prior procedures. Ensure specificity regarding overlapping sites to support accurate coding.