N35.119 Postinfective urethral stricture, not elsewhere classified, male, unspecified

Name of the Condition

• Postinfective urethral stricture, not elsewhere classified, male, unspecified

Summary

Postinfective urethral stricture, not elsewhere classified, male, unspecified, is a condition where the male urethra narrows due to scarring from a prior infection. This narrowing 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 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.

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.

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. Mild cases may respond to minimally invasive treatments, while severe or recurrent strictures may require surgery. Regular follow-up is important to monitor for recurrence or complications.

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 you experience persistent urinary symptoms, difficulty urinating, or signs of infection (e.g., fever, pain).

Tips for Medical Coders

Document the location and cause of the stricture when available. For unspecified cases, ensure no more specific subcategory applies. Include details on infection history or prior treatments to support coding accuracy.