Vesical fistula, not elsewhere classified
ICD-10 N32.2 is a billable code used to indicate a diagnosis of vesical fistula, not elsewhere classified.
A vesical fistula is an abnormal connection between the bladder and another organ or the skin, leading to the involuntary leakage of urine. This condition can arise from various causes, including surgical complications, trauma, malignancies, or chronic inflammatory diseases. Patients with vesical fistula may experience significant urinary incontinence, recurrent urinary tract infections, and bladder dysfunction. Cystitis, or inflammation of the bladder, is often a secondary complication due to the constant exposure of urine to surrounding tissues. Neurogenic bladder, a condition where nerve damage affects bladder control, can also contribute to the development of vesical fistulas, particularly in patients with spinal cord injuries or neurological disorders. Accurate diagnosis typically involves imaging studies, such as cystography or ultrasound, and may require urodynamic testing to assess bladder function. Treatment options vary based on the underlying cause and may include surgical repair of the fistula, management of urinary incontinence, and addressing any associated bladder disorders.
Detailed surgical history, imaging studies, and urodynamic test results.
Patients presenting with urinary incontinence, recurrent UTIs, or post-surgical complications.
Ensure clear documentation of the fistula's characteristics and any associated bladder dysfunction.
Comprehensive renal history, including any prior bladder or kidney surgeries.
Patients with chronic kidney disease experiencing bladder dysfunction or incontinence.
Document any renal implications of the vesical fistula and its management.
Used in cases of urinary incontinence associated with vesical fistula.
Document the indication for the procedure and any prior treatments.
Urology specialists should ensure that the procedure is linked to the diagnosis of vesical fistula.
Common causes include surgical complications, trauma, malignancies, and chronic inflammatory diseases. Conditions like cystitis and neurogenic bladder can also contribute to the development of vesical fistulas.
