N35.12 Postinfective urethral stricture, not elsewhere classified, female

Name of the Condition

• Postinfective urethral stricture, not elsewhere classified, female

Summary

Postinfective urethral stricture, not elsewhere classified, female, is a narrowing of the female urethra resulting from scarring caused by a prior infection. This condition can obstruct urine flow and lead to urinary symptoms. The stricture is classified here when it does not fall under other specified subcategories.

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.

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.

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 stricture's severity and treatment response. Regular follow-up may be needed to monitor for recurrence or complications. Treatment success varies, and some cases may require repeated interventions.

Complications

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

Lifestyle & Prevention

• Practice good hygiene to reduce infection risk.
• Promptly treat urinary tract infections.
• Avoid unnecessary urethral instrumentation.
• Use protection during sexual activity to prevent infections.

When to Seek Professional Help

Seek care if experiencing persistent urinary symptoms, pain, or difficulty urinating. Immediate attention is needed for signs of urinary retention or severe pain.

Tips for Medical Coders

Use this code for female patients with postinfective urethral stricture not classified elsewhere. Document the infection history, stricture location, and absence of more specific subcategory criteria. Ensure clinical correlation with diagnostic findings.