N35.112 Postinfective bulbous urethral stricture, not elsewhere classified, male

Name of the Condition

• Postinfective bulbous urethral stricture, not elsewhere classified, male

Summary

Postinfective bulbous urethral stricture, not elsewhere classified, male, is a narrowing of the urethra in the bulbous region due to scarring from a prior infection. This condition can obstruct urine flow and cause urinary symptoms. The stricture is classified here when it does not fall under other specified subcategories and affects males.

Causes

The condition develops due to scarring from infections affecting the urethra, such as sexually transmitted infections or other bacterial infections. Inflammation from these infections can lead to tissue damage and subsequent narrowing of the urethral passage in the bulbous region.

Risk Factors

• History of urethral infections
• Recurrent or untreated urinary tract infections
• Prolonged catheterization or instrumentation
• Inflammatory conditions involving the urethra

Symptoms

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

Diagnosis

Diagnosis typically involves a physical examination, uroflowmetry to assess urine flow, and imaging studies such as retrograde urethrogram or cystoscopy to visualize the stricture. These methods help determine the location and severity of the narrowing in the bulbous urethra.

Treatment Options

Treatment may include urethral dilation to temporarily widen the stricture, urethrotomy to cut the scar tissue, or surgical reconstruction (urethroplasty) for more severe cases. The choice of treatment depends on the stricture's location, length, and severity.

Prognosis and Follow-Up

Prognosis varies based on the stricture's severity and treatment response. Some patients may experience recurrence, requiring ongoing monitoring. Follow-up may involve periodic uroflowmetry or imaging to assess for stricture recurrence or complications.

Complications

• Urinary retention or incomplete bladder emptying
• Increased risk of urinary tract infections
• Kidney damage from prolonged obstruction
• Erectile dysfunction (rare)

Lifestyle & Prevention

• Practice safe sex to reduce infection risk
• Seek prompt treatment for urethral infections
• Avoid unnecessary urethral instrumentation
• Maintain good hygiene to prevent infections

When to Seek Professional Help

Seek medical attention if you experience persistent urinary symptoms, difficulty urinating, or signs of infection (e.g., fever, pain). Early evaluation can prevent complications.

Tips for Medical Coders

When coding for postinfective bulbous urethral stricture, ensure documentation specifies the stricture's location (bulbous urethra) and confirms it is not classified elsewhere. Verify that the condition is attributed to a prior infection and affects males, as these details are critical for accurate coding.