Urethral functional and muscular disorders
ICD-10 N36.4 is a billable code used to indicate a diagnosis of urethral functional and muscular disorders.
Urethral functional and muscular disorders encompass a range of conditions affecting the urethra's ability to function properly. This includes urethritis, which is inflammation of the urethra often caused by infections, and urethral stricture, a narrowing of the urethra that can lead to obstructive urinary symptoms. Patients may present with dysuria, urinary frequency, urgency, and in severe cases, urinary retention. These disorders can arise from various etiologies, including trauma, surgical interventions, or inflammatory conditions. Urethral disorders may also be secondary to systemic diseases such as diabetes or neurological conditions that affect bladder function. Accurate diagnosis often requires a combination of patient history, physical examination, and diagnostic imaging or urodynamic studies. Treatment options vary based on the underlying cause and may include medications, catheterization, or surgical interventions to restore normal urethral function.
Detailed patient history, physical examination findings, and results of diagnostic tests such as cystoscopy or urodynamics.
Patients presenting with urinary obstruction, recurrent urinary tract infections, or post-surgical complications.
Ensure clarity in the documentation of the specific urethral disorder and any associated conditions.
Comprehensive history of urinary symptoms, review of systems, and any prior treatments or interventions.
Initial evaluation of dysuria or urinary frequency in patients with no prior urological history.
Document any referrals to urology for further evaluation and management.
Used for evaluation of urethral disorders when symptoms are present.
Document indication for cystoscopy and findings.
Urology specialists should ensure thorough documentation of findings and any interventions performed.
Common causes include infections (urethritis), trauma, surgical complications, and systemic diseases such as diabetes that affect nerve function.
Urethritis typically presents with inflammation and infection symptoms, while urethral stricture is characterized by narrowing of the urethra leading to obstructive symptoms.
