Complete uterovaginal prolapse
ICD-10 N81.3 is a billable code used to indicate a diagnosis of complete uterovaginal prolapse.
Complete uterovaginal prolapse is a condition characterized by the descent of the uterus and vagina into the vaginal canal due to weakened pelvic support structures. This condition often arises from factors such as childbirth, aging, obesity, and connective tissue disorders. Clinically, patients may present with symptoms including a sensation of heaviness or pressure in the pelvic region, urinary incontinence, difficulty with bowel movements, and visible protrusion of the vaginal tissue. The condition can significantly impact a woman's quality of life, leading to physical discomfort and psychological distress. Diagnosis typically involves a pelvic examination, where the degree of prolapse is assessed. Treatment options range from conservative management, such as pelvic floor exercises and pessary use, to surgical interventions aimed at restoring normal anatomy and function. Understanding the interplay between complete uterovaginal prolapse and other conditions like endometriosis, pelvic organ prolapse, and ovarian disorders is crucial for comprehensive patient management.
Detailed pelvic examination findings, treatment plans, and patient history.
Patients presenting with pelvic pressure, urinary symptoms, or visible prolapse during routine gynecological exams.
Ensure comprehensive documentation of associated conditions like endometriosis or ovarian disorders that may complicate the prolapse.
Assessment of urinary function, including incontinence severity and impact on daily life.
Patients with urinary incontinence related to pelvic organ prolapse.
Document the relationship between prolapse and urinary symptoms to support coding.
Used in cases of complete uterovaginal prolapse requiring surgical intervention.
Document indications for surgery, pre-operative assessments, and post-operative care.
Obstetricians should ensure clear documentation of the prolapse severity and associated symptoms.
Common symptoms include a sensation of heaviness in the pelvic area, urinary incontinence, difficulty with bowel movements, and visible protrusion of vaginal tissue.
Diagnosis is typically made through a pelvic examination, where the degree of prolapse is assessed, often supplemented by imaging studies if necessary.
