Name of the Condition

• Erosion of implanted urethral mesh; Medical ICD term: Erosion of implanted urethral mesh to surrounding organ or tissue, subsequent encounter (ICD-10 Code T83.712D).

Summary

• Erosion of implanted urethral mesh refers to the wearing away or damage of surgical mesh used in treating stress urinary incontinence or pelvic organ prolapse, where the mesh affects nearby organs or tissues. This entry concerns subsequent encounters, indicating ongoing treatment or follow-up.

Causes

• Surgical complications from the initial mesh implantation may lead to erosion. Factors could include surgical technique, material properties of the mesh, and patient-related issues.

Risk Factors

• Multiply exacerbated by factors such as previous pelvic surgeries, chronic pain, mesh placement technique, and individual's body reaction to the foreign material.

Symptoms

• Patients may experience urinary discomfort, recurrent urinary infections, pain in the pelvic area, or bleeding.

Diagnosis

• Diagnosed through a combination of physical examinations, cystoscopy, or imaging studies like ultrasound or MRI to assess mesh positioning and tissue integration.

Treatment Options

• Treatments might include surgical removal of the mesh, medication to manage symptoms, or physical therapy for pain relief. Surgical intervention often provides the most definitive resolution.

Prognosis and Follow-Up

• Prognosis depends on the severity and location of erosion. Many patients recover well post-removal, although regular follow-ups are crucial to monitor recovery and prevent recurrences.

Complications

• If untreated, can lead to severe infections, damage to nearby organs, or chronic pain and discomfort.

Lifestyle & Prevention

• Patients are advised to follow post-operative care instructions rigorously and maintain regular follow-ups to monitor for early signs of complications. Avoid strenuous activities that may strain the pelvic region.

When to Seek Professional Help

• Seek immediate medical attention if experiencing severe pelvic pain, unusual bleeding, persistent infections, or signs of urinary blockage.

Additional Resources

• American Urological Association (AUA), International Urogynecological Association (IUGA) offer resources and support for affected patients.

Tips for Medical Coders

• Ensure accurate documentation of the "subsequent encounter" as continued treatment or monitoring of erosion and avoid confusion with initial placement complications or subsequent new erosions.