Urethral stricture due to childbirth
ICD-10 N35.021 is a billable code used to indicate a diagnosis of urethral stricture due to childbirth.
Urethral stricture due to childbirth is a condition characterized by the narrowing of the urethra, which can occur as a complication of childbirth. This stricture can result from trauma to the urethra during delivery, particularly in cases of prolonged labor, the use of forceps, or episiotomy. The narrowing can lead to various urinary symptoms, including difficulty urinating, urinary retention, and recurrent urinary tract infections. The condition may be diagnosed through a combination of patient history, physical examination, and imaging studies such as retrograde urethrograms. Treatment options may include urethral dilation, urethrotomy, or surgical reconstruction, depending on the severity of the stricture. It is essential for healthcare providers to recognize this condition early to prevent complications and improve the quality of life for affected individuals.
Detailed history of urinary symptoms, prior surgeries, and obstetric history.
Patients presenting with urinary retention or recurrent UTIs post-childbirth.
Urologists should ensure thorough documentation of the stricture's cause and any previous treatments.
Complete delivery notes, including any complications during childbirth.
Postpartum patients reporting urinary issues after vaginal delivery.
Obstetricians should document any interventions that may have contributed to urethral trauma.
Used to evaluate the urethral stricture.
Document indication for cystoscopy and findings.
Urologists should ensure that the procedure is justified based on clinical symptoms.
The primary cause is trauma to the urethra during childbirth, which can lead to scarring and narrowing of the urethra.
