Name of the Condition

• Malfunction of incontinent external stoma of urinary tract
• ICD Code: N99.522

Summary

This condition refers to the improper functioning of a surgically created opening, or stoma, for urinary diversion outside the body. These stomas are typically created when usual urinary pathways are compromised due to injury, disease, or surgery. Malfunction may result in leakage or difficulty in urine drainage.

Causes

• Surgical complications during or after the creation of the stoma.
• Infection or irritation of the stoma site.
• Poor stoma care leading to blockage or structural changes.
• Changes in body weight affecting stoma positioning.

Risk Factors

• Previous surgeries in the urinary tract.
• Chronic health conditions affecting wound healing and tissue integrity.
• Inadequate postoperative care or education on stoma management.
• Advanced age, which may affect stoma durability.

Symptoms

• Leakage of urine around the stoma.
• Difficulty in urine drainage.
• Swelling, irritation, or infection at the stoma site.
• Skin breakdown or ulceration around the stoma.

Diagnosis

• Physical examination of the stoma.
• Imaging studies to assess stoma function and anatomy.
• Urinalysis to check for infection.
• Patient history to evaluate stoma care routine.

Treatment Options

• Adjustments or modifications to stoma care techniques and equipment.
• Medications to treat infections or reduce inflammation around the stoma.
• Surgical revision of the stoma if structural problems are present.
• Consultation with a stoma care specialist for personalized management advice.

Prognosis and Follow-Up

• With effective management, most patients can maintain a functional stoma.
• Regular follow-up appointments are crucial for early detection of potential malfunctions or complications.
• Continuous monitoring and care adjustments ensure long-term successful outcomes.

Complications

• Persistent leakage or obstruction can lead to urinary tract infections.
• Skin breakdown around the stoma may cause pain and further infections.
• Potential for acute kidney injury if urinary flow is severely obstructed.

Lifestyle & Prevention

• Proper stoma care and hygiene to prevent infections and irritation.
• Adjustments in diet or fluid intake may be necessary to maintain optimal stoma function.
• Routine check-ups and education on stoma management techniques.

When to Seek Professional Help

• Persistent leakage or difficulty urinating through the stoma.
• Signs of infection, such as redness, warmth, or drainage.
• Sudden changes in stoma appearance.
• Unexplained pain or discomfort near the stoma site.

Additional Resources

• United Ostomy Associations of America (UOAA) for patient support and education.
• The American Society of Colon and Rectal Surgeons (ASCRS) for professional guidance.

Tips for Medical Coders

• Ensure accurate code usage by confirming that no other urinary tract complications are present.
• Verify stoma malfunction specifics through detailed medical records.
• Avoid misclassification by differentiating between stoma type (continent vs. incontinent).