Coital incontinence
ICD-10 N39.491 is a billable code used to indicate a diagnosis of coital incontinence.
Coital incontinence refers to the involuntary loss of urine during sexual intercourse. This condition can significantly impact a patient's quality of life and intimate relationships. It is often associated with various underlying urinary system disorders, including urethritis, urethral stricture, and other urethral disorders. Urethritis, an inflammation of the urethra, can lead to increased urgency and frequency of urination, contributing to coital incontinence. Urethral strictures, which are narrowings of the urethra, can obstruct urine flow and cause discomfort during sexual activity, potentially resulting in involuntary leakage. Other urinary system disorders classified elsewhere, such as neurological conditions affecting bladder control, may also play a role in the development of coital incontinence. Accurate diagnosis and management of coital incontinence require a comprehensive evaluation of the urinary system, including potential psychological factors that may exacerbate the condition. Treatment options may include pelvic floor exercises, medications, or surgical interventions, depending on the underlying cause.
Detailed patient history, including sexual health and urinary symptoms; results of diagnostic tests.
Patients presenting with urinary leakage during intercourse, post-surgical complications affecting urinary function.
Consideration of psychological factors and sexual health discussions are crucial for accurate coding.
Comprehensive gynecological history, including childbirth history and pelvic floor assessments.
Women experiencing urinary incontinence related to pelvic floor dysfunction or after childbirth.
Documentation should include any pelvic floor therapy or surgical interventions performed.
Used when evaluating patients with coital incontinence to assess bladder function.
Document the indication for urodynamics and the results of the study.
Urologists should ensure comprehensive documentation of findings related to coital incontinence.
Coital incontinence is the involuntary loss of urine during sexual intercourse, which can be caused by various underlying urinary disorders.
Diagnosis typically involves a detailed patient history, physical examination, and possibly urodynamic studies to assess bladder function.
Treatment options may include pelvic floor exercises, medications, or surgical interventions, depending on the underlying cause.
