N99.111 Postprocedural bulbous urethral stricture, male

ICD10CM code

#### Name of the Condition
- **Postprocedural bulbous urethral stricture, male**  
- Alternative Term: Urethral stricture post-surgery

#### Summary
- Postprocedural bulbous urethral stricture in males is a narrowing of the urethra in the bulbous section that occurs as a complication following a surgical procedure. This can impede normal urinary flow and cause discomfort.

#### Causes
- This condition typically develops after medical procedures involving the urethra or pelvis, such as catheterization, prostate surgery, or trauma from surgical instruments.

#### Risk Factors
- Undergoing urological surgeries, repeated catheter use, or previous history of urethral trauma. 

#### Symptoms
- Symptoms may include a weak urine stream, difficulty in urinating, frequent urination, pain in the pelvic area, or urinary tract infections.

#### Diagnosis
- Diagnosis involves a combination of physical examination, patient history, imaging techniques like ultrasound or retrograde urethrogram, and cystoscopy to visually assess the urethra.

#### Treatment Options
- Treatments include urethral dilation, surgical incision (urethrotomy), or open surgical reconstruction (urethroplasty). These interventions aim to restore normal urine flow by widening the narrowed area.

#### Prognosis and Follow-Up
- With appropriate treatment, the prognosis is generally good, though strictures may recur. Regular follow-up is crucial to monitor symptoms and detect any recurrence early.

#### Complications
- If untreated, it can lead to chronic urinary retention, recurrent infections, bladder stones, or kidney damage.

#### Lifestyle & Prevention
- Reducing risk by avoiding unnecessary catheterization when possible and following post-surgical care instructions. Maintaining good hydration and promptly addressing urinary symptoms can help manage the condition.

#### When to Seek Professional Help
- Seek medical help if experiencing severe difficulty urinating, intense pelvic pain, or signs of a urinary infection such as fever or pain during urination.

#### Additional Resources
- [American Urological Association](https://www.auanet.org/)
- [National Institute of Diabetes and Digestive and Kidney Diseases](https://www.niddk.nih.gov/)

#### Tips for Medical Coders
- Ensure that the coding correctly reflects the postprocedural nature of the stricture and specifies the location (bulbous urethra). 
- Avoid general coding for urethral stricture without specifying the postprocedural cause and detailed anatomical site.

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