T83.111S Breakdown (mechanical) of implanted urinary sphincter, sequela

Name of the Condition

• Breakdown (mechanical) of implanted urinary sphincter, sequela

Summary

Breakdown (mechanical) of an implanted urinary sphincter, sequela, refers to mechanical failure or malfunction of a surgically implanted device designed to control urinary flow, occurring as a late effect of a previous condition. This condition arises when the device fails to function as intended, potentially disrupting urinary continence or requiring intervention.

Causes

Mechanical breakdown may result from material degradation, wear and tear, or structural failure of the device. Improper placement, trauma, or manufacturing defects can also contribute to device malfunction.

Risk Factors

• Prolonged use of the implanted urinary sphincter
• Pre-existing conditions affecting device integrity
• Inadequate device maintenance or follow-up
• Underlying anatomical or physiological factors impacting device performance

Symptoms

• Urinary incontinence or altered flow
• Pain or discomfort at the device site
• Signs of device failure (e.g., leakage, dislodgement)
• Urinary symptoms (e.g., difficulty urinating, retention)

Diagnosis

Diagnosis involves a physical examination, review of device history, and may include imaging (e.g., ultrasound, X-ray) or functional tests to assess device position, integrity, or performance.

Treatment Options

Treatment depends on the specific device and complication. Options may include device replacement, surgical revision, or management of associated symptoms.

Prognosis and Follow-Up

Prognosis varies based on the extent of device failure and response to treatment. Follow-up care is essential to monitor device function and address any recurrent issues.

Complications

• Persistent urinary incontinence
• Infection at the device site
• Device erosion or migration
• Urinary retention or obstruction

Lifestyle & Prevention

• Adhere to scheduled device maintenance and follow-up appointments.
• Avoid activities that may cause trauma to the device area.
• Report any changes in urinary function or device-related symptoms promptly.

When to Seek Professional Help

Seek medical attention if experiencing worsening urinary incontinence, pain, signs of device failure, or new urinary symptoms.

Tips for Medical Coders

Document the type of implanted urinary sphincter, the nature of the mechanical breakdown, and any associated sequelae. Ensure the code T83.111S is used when the condition is a late effect of a previous breakdown (mechanical) of an implanted urinary sphincter.