Intrinsic sphincter deficiency (ISD)
ICD-10 N36.42 is a billable code used to indicate a diagnosis of intrinsic sphincter deficiency (isd).
Intrinsic sphincter deficiency (ISD) is a condition characterized by the inability of the urethral sphincter to maintain urinary continence due to a lack of adequate muscle tone or coordination. This condition often results in involuntary leakage of urine, particularly during activities that increase abdominal pressure, such as coughing, sneezing, or exercising. ISD is commonly seen in women, especially those who have undergone childbirth or pelvic surgery, but it can also occur in men, particularly following prostate surgery. The diagnosis of ISD typically involves a thorough clinical evaluation, including a detailed patient history, physical examination, and possibly urodynamic studies to assess bladder function and sphincter integrity. Treatment options may include pelvic floor exercises, medications, or surgical interventions such as sling procedures or artificial urinary sphincters. Understanding ISD is crucial for effective management of urinary incontinence and improving the quality of life for affected individuals.
Detailed urodynamic study results, treatment plans, and follow-up assessments.
Patients presenting with urinary incontinence post-prostatectomy or childbirth.
Ensure accurate documentation of the type of incontinence and any surgical history.
History of childbirth, pelvic floor assessments, and any previous surgical interventions.
Women experiencing urinary leakage during physical activity or after childbirth.
Document the impact of pelvic floor health on urinary function.
Used to assess bladder function in patients suspected of having ISD.
Document the indications for the urodynamic study and the results.
Urologists should ensure that the study is performed in accordance with established protocols.
Intrinsic sphincter deficiency (ISD) is a condition where the urethral sphincter cannot maintain urinary continence, leading to involuntary leakage of urine.
ISD is diagnosed through a combination of patient history, physical examination, and urodynamic studies to assess bladder and sphincter function.
Treatment options for ISD may include pelvic floor exercises, medications, and surgical interventions such as sling procedures or artificial urinary sphincters.
