N35.116 Postinfective urethral stricture, not elsewhere classified, male, overlapping sites

Name of the Condition

• Postinfective urethral stricture, not elsewhere classified, male, overlapping sites

Summary

Postinfective urethral stricture, not elsewhere classified, male, overlapping sites, is a condition where the male urethra narrows due to scarring from a prior infection, affecting multiple segments simultaneously. This narrowing can obstruct urine flow and cause urinary symptoms.

Causes

The condition develops from scarring of the urethra following an infection, such as a sexually transmitted infection or other bacterial urethritis. Inflammation from the infection leads to tissue damage and subsequent stricture formation across overlapping sites.

Risk Factors

• History of urethral infections
• Recurrent or untreated sexually transmitted infections
• Prolonged catheterization or instrumentation
• Inflammatory conditions affecting 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 and may include urethroscopy to visualize the stricture, uroflowmetry to assess urine flow, or imaging studies like retrograde urethrogram to evaluate the narrowing. These methods help determine the location and severity of the stricture.

Treatment Options

• Dilation: Gradual widening of the stricture using instruments.
• Urethrotomy: Endoscopic procedure to cut the stricture.
• Urethroplasty: Surgical reconstruction of the urethra.
• Catheterization: Temporary relief of obstruction.

Prognosis and Follow-Up

Prognosis depends on the severity and location of the stricture. Recurrence is possible, requiring ongoing monitoring. Follow-up may include periodic uroflowmetry or imaging to assess for restenosis.

Complications

• Recurrent urinary tract infections
• Urinary retention
• Kidney damage from prolonged obstruction
• Sexual dysfunction

Lifestyle & Prevention

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

When to Seek Professional Help

Seek medical attention if experiencing difficulty urinating, pain, or signs of urinary retention. Early evaluation can prevent complications.

Tips for Medical Coders

Document the specific overlapping sites affected by the stricture. Ensure clinical notes specify the segments involved to support accurate coding. Verify that the stricture is postinfective and not due to other causes.