Name of the Condition

• Cutaneous-vesicostomy status
• Often referred to as cutaneous vesicostomy

Summary

• Cutaneous-vesicostomy status refers to the condition of having a surgically created stoma that connects the bladder to the skin on the lower abdomen, allowing urine to bypass the urethra and exit directly from the bladder.

Causes

• This condition is typically the result of surgical intervention intended to address urinary tract problems such as severe obstruction, neurogenic bladder, or other conditions affecting proper urine flow and bladder function.

Risk Factors

• Risk factors are generally related to the underlying conditions necessitating the procedure, such as congenital urinary tract malformations, neurological disorders affecting bladder function, or previous urinary surgeries.

Symptoms

• The primary characteristic is the presence of a stoma on the abdomen. Patients might experience complications like skin irritation or infections around the stoma.

Diagnosis

• Diagnosis of the cutaneous-vesicostomy status relies on a physical examination confirming the presence of the stoma and reviewing medical records for surgical history.

Treatment Options

• Treatment primarily involves ongoing care to maintain stoma health, prevent infections, and address any complications.
• Special care includes regular cleaning and monitoring for signs of infection or inflammation.

Prognosis and Follow-Up

• The prognosis varies based on the underlying cause and individual health. Regular follow-up with a healthcare provider is crucial to monitor stoma health and manage any emerging issues.

Complications

• Potential complications include urinary tract infections, skin irritation, stoma blockage, and leakage around the stoma site.

Lifestyle & Prevention

• Maintain good hygiene and skin care around the stoma to prevent infection.
• Adequate hydration and following specific medical advice can help manage the condition effectively.

When to Seek Professional Help

• Seek immediate help if there is severe redness, swelling, signs of infection, or changes in urine output from the stoma.

Additional Resources

• American Urological Association (AUA)
• Spina Bifida Association: Offers support and information for individuals with neurogenic bladder issues.

Tips for Medical Coders

• Ensure the distinction between the current status of cutaneous-vesicostomy and other urological conditions.
• Verify any accompanying surgical procedures or conditions that may need separate documentation.
• Avoid misclassification by confirming with medical records that the stoma is an intentional post-surgical feature.