N35.112
Postinfective bulbous urethral stricture, not elsewhere classified, male
Clinical Classification Guidelines
Medical Intelligence & Overview
Postinfective bulbous urethral stricture is a condition where the tube carrying urine from the bladder to the outside of the body, known as the urethra, becomes narrowed in the bulbous section due to a previous infection. This narrowing can obstruct urine flow, cause discomfort, and lead to other urinary issues. Although it is classified under ICD-10 code N35.112, it is not diagnosed or classified elsewhere, emphasizing its specific presentation following an infectious process.
Causes & Symptoms
Clinical Causes: Previous urinary tract infections (UTIs), especially those affecting the urethra Sexually transmitted infections, such as gonorrhea or chlamydia Trauma or injury to the urethra Prolonged catheter use or instrumentation Inflammatory conditions that involve the urethra
Key Symptoms: Difficulty starting urination or a weak urine stream Pain or burning sensation during urination Nocturia, or the need to urinate frequently at night Feeling of incomplete bladder emptying Urinary retention in severe cases Blood in urine or discharge
Diagnostic & Treatment
Diagnosis Path: Urinalysis to identify infection or blood in urine Uroflowmetry to analyze urine flow rates Post-void residual measurement to assess urine remaining after voiding Imaging studies such as retrograde urethrogram or ultrasound to visualize the narrowing Cystoscopy, a procedure where a small camera is inserted into the urethra for detailed inspection
Treatment Protocols: Dilation of the urethra using gradual dilators to widen the narrowed segment Urethrotomy, a minimally invasive surgical procedure to cut the scar tissue Urethroplasty in more severe or recurrent cases, involving reconstructive surgery Antibiotic therapy if an active infection is present Management of symptoms and prevention strategies for future infections
Clinical Advice & FAQs
Billing Guidance
Is N35.112 a billable ICD-10 code?
Yes, N35.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report N35.112?
Clinical documentation must specify the nature of Postinfective bulbous urethral stricture, not elsewhere classified, male and any associated comorbidities for accurate reporting.
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