N99.110 Postprocedural urethral stricture, male, meatal

Name of the Condition

• Postprocedural urethral stricture, male, meatal

Summary

Postprocedural urethral stricture, male, meatal is a narrowing of the urethra at the meatus (opening) in males that occurs as a complication following a medical procedure. This narrowing can restrict urine flow and may lead to urinary symptoms or complications.

Causes

This condition typically develops after procedures involving the urethra or surrounding structures, such as catheterization, surgical interventions, or trauma from medical instruments. It may result from scarring or tissue damage during or after the procedure.

Risk Factors

• Undergoing urological or pelvic surgeries, repeated catheter use, or prior urethral trauma.
• Procedures involving the urethra, such as endoscopic surgery or instrumentation.

Symptoms

• Weak or intermittent urine stream.
• Difficulty starting or stopping urination.
• Frequent urination or urinary urgency.
• Pain or burning during urination.
• Urinary tract infections or incomplete bladder emptying.

Diagnosis

Diagnosis involves a combination of patient history, physical examination, and imaging studies. Tests may include urethrography, ultrasound, or cystoscopy to visualize the urethra and assess the stricture.

Treatment Options

• Urethral dilation or urethrotomy to widen the narrowed area.
• Surgical reconstruction (urethroplasty) for severe or recurrent strictures.
• Meatal dilation or meatotomy to address meatal-specific narrowing.

Prognosis and Follow-Up

With appropriate treatment, the prognosis is generally good, though strictures may recur. Regular follow-up is recommended to monitor for recurrence and assess urinary function.

Complications

• Recurrent strictures requiring repeated interventions.
• Urinary retention or incontinence.
• Chronic urinary tract infections.
• Kidney damage from prolonged obstruction.

Lifestyle & Prevention

• Maintain good hygiene to reduce infection risk.
• Avoid repeated urethral instrumentation when possible.
• Follow post-procedure care instructions to minimize scarring.

When to Seek Professional Help

Seek medical attention if you experience persistent urinary symptoms, pain, fever, or signs of infection after a procedure.

Tips for Medical Coders

When coding for postprocedural urethral stricture, male, meatal (N99.110), ensure documentation specifies the location (meatal) and confirms the stricture is postprocedural. Include details about the underlying procedure and any associated symptoms or interventions to support code assignment.