Female genital prolapse
Chapter 14:Diseases of the genitourinary system
ICD-10 N81 is a billable code used to indicate a diagnosis of female genital prolapse.
Female genital prolapse refers to the descent of pelvic organs, such as the uterus, vagina, bladder, or rectum, into or beyond the vaginal canal due to weakened pelvic support structures. This condition is often associated with childbirth, aging, and hormonal changes, particularly in postmenopausal women. Symptoms may include a sensation of heaviness or pressure in the pelvic area, urinary incontinence, difficulty with bowel movements, and sexual dysfunction. Prolapse can be classified into various types, including uterine prolapse, cystocele (anterior vaginal wall prolapse), and rectocele (posterior vaginal wall prolapse). Diagnosis typically involves a thorough pelvic examination, and treatment options range from conservative management, such as pelvic floor exercises and pessaries, to surgical interventions aimed at restoring normal anatomy and function. Understanding the interplay between female genital prolapse and other conditions such as endometriosis, fistulas, ovarian disorders, and polyps is crucial, as these may coexist and complicate the clinical picture, necessitating a comprehensive approach to management.
Detailed pelvic examination findings, patient history, and treatment plans.
Patients presenting with pelvic pressure, urinary incontinence, or complications from previous surgeries.
Ensure to document any associated conditions like endometriosis or fistulas that may affect treatment.
Assessment of urinary function and any urodynamic studies performed.
Patients with urinary incontinence related to pelvic organ prolapse.
Document the relationship between prolapse and urinary symptoms for accurate coding.
Performed for uterine prolapse.
Indicate the reason for surgery and any associated findings.
Obstetricians should document the extent of prolapse and any concurrent procedures.
Common symptoms include pelvic pressure, urinary incontinence, difficulty with bowel movements, and a visible bulge in the vaginal area.
Diagnosis is primarily clinical, based on a pelvic examination and the patient's reported symptoms. Imaging may be used in complex cases.
Treatment options range from conservative measures like pelvic floor exercises and pessaries to surgical interventions such as vaginal or abdominal repair.
