N99.113 Postprocedural anterior bulbous urethral stricture, male

Name of the Condition

• Postprocedural anterior bulbous urethral stricture, male

Summary

Postprocedural anterior bulbous urethral stricture in males is a narrowing of the urethra in the anterior bulbous region that occurs as a complication following a medical procedure. This narrowing can obstruct urinary flow and may cause associated symptoms.

Causes

This condition typically develops after procedures involving the urethra or pelvic region, such as catheterization, surgical interventions, or trauma from medical instruments. It results from scarring or tissue changes during healing.

Risk Factors

• Undergoing urological surgeries, repeated catheter use, or prior urethral trauma.
• Procedures involving the prostate, bladder, or urethra.

Symptoms

• Weak or interrupted urine stream.
• Difficulty initiating or completing urination.
• Increased frequency or urgency of urination.
• Pain during urination or ejaculation.
• Urinary tract infections.

Diagnosis

Diagnosis involves a physical examination, patient history, and imaging studies such as retrograde urethrogram or cystoscopy to visualize the urethra. Uroflowmetry may assess urine flow rates.

Treatment Options

• Urethral dilation or urethrotomy to widen the narrowed area.
• Open surgical reconstruction (urethroplasty) for complex cases.
• Catheterization or stenting to maintain patency during healing.

Prognosis and Follow-Up

With appropriate treatment, the prognosis is generally good, though strictures may recur. Regular follow-up is important to monitor for recurrence or complications.

Complications

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

Lifestyle & Prevention

• Maintain good hydration to support urinary health.
• Avoid activities that may cause urethral trauma.
• Follow post-procedure care instructions to minimize scarring.
• Practice safe catheter use if needed.

When to Seek Professional Help

Seek medical attention if you experience severe pain during urination, inability to urinate, blood in urine, or signs of infection (e.g., fever, chills).

Tips for Medical Coders

Document the location (anterior bulbous urethra) and postprocedural nature of the stricture. Ensure clinical notes specify the stricture’s relation to a prior procedure for accurate coding.