N39.491 Coital incontinence

ICD10CM code

#### Name of the Condition
- Coital Incontinence
- Also known as urine leakage during sexual activity.

#### Summary
Coital incontinence refers to the involuntary leakage of urine during sexual intercourse, which can be distressing and impact quality of life. It is a subtype of urinary incontinence and may occur during penetration or orgasm.

#### Causes
- Weakness in the pelvic floor muscles.
- Bladder dysfunction.
- Previous pelvic surgeries or childbirth.

#### Risk Factors
- Age: More common in middle-aged and older women.
- Childbirth: History of vaginal deliveries.
- Menopause: Hormonal changes affecting pelvic tissues.
- Pelvic surgeries: Such as hysterectomy.

#### Symptoms
- Involuntary leakage of urine during sexual activity.
- May occur at different points, such as during penetration or orgasm.

#### Diagnosis
- Patient history and symptom questionnaire.
- Pelvic examination.
- Urodynamic studies to assess bladder function.
- Cystoscopy to visualize bladder and urethra.

#### Treatment Options
- Pelvic floor exercises (Kegel exercises) to strengthen muscles.
- Medications that can reduce bladder symptoms or increase urethral tone.
- Behavioral therapy focusing on bladder retraining.
- Surgical options like sling procedures if conservative measures fail.

#### Prognosis and Follow-Up
- With proper treatment, many individuals experience significant improvement.
- Regular follow-ups are essential to monitor the condition and adjust treatment as needed.

#### Complications
- Sexual dysfunction or decreased satisfaction.
- Emotional or psychological impact, such as embarrassment or anxiety.

#### Lifestyle & Prevention
- Engage in regular pelvic floor strengthening exercises.
- Maintain a healthy weight and diet to decrease pressure on the bladder.
- Limit fluid intake before engaging in sexual activities.

#### When to Seek Professional Help
- Persistent or worsening symptoms impacting your quality of life.
- If conservative management strategies do not offer relief.

#### Additional Resources
- [American Urological Association](https://www.auanet.org)
- [National Association for Continence](https://www.nafc.org)

#### Tips for Medical Coders
- Ensure the correct ICD code N39.491 is used for coital incontinence.
- Verify that documentation supports this specific diagnosis to avoid misclassification.

Medical Policies and Guidelines for Coital incontinence

Related policies from health plans

Similar Codes