Incompetence or weakening of pubocervical tissue
ICD-10 N81.82 is a billable code used to indicate a diagnosis of incompetence or weakening of pubocervical tissue.
Incompetence or weakening of pubocervical tissue refers to a condition where the supportive tissues of the pelvic floor, particularly those surrounding the cervix and vagina, become weakened or damaged. This can lead to various complications, including pelvic organ prolapse, where organs such as the bladder, uterus, or rectum descend into the vaginal canal. The weakening of these tissues can be associated with childbirth, aging, hormonal changes, or conditions such as endometriosis. Endometriosis can contribute to pelvic pain and may exacerbate tissue weakening due to chronic inflammation. Additionally, the presence of fistulas, which are abnormal connections between the vagina and other organs, can complicate the clinical picture. Ovarian disorders and polyps of the female genital tract may also coexist, leading to further challenges in management. Proper diagnosis often involves a thorough pelvic examination, imaging studies, and sometimes surgical evaluation to assess the extent of tissue damage and plan appropriate interventions.
Detailed history of pelvic symptoms, physical examination findings, and imaging results.
Patients presenting with pelvic pain, urinary incontinence, or vaginal bulging.
Documentation should clearly outline the relationship between tissue weakening and any surgical interventions planned.
Assessment of urinary function, urodynamic studies, and any surgical history.
Patients with urinary incontinence or recurrent urinary tract infections related to pelvic organ prolapse.
Urologists should document any coexisting urological conditions that may impact treatment.
Used in cases where surgical intervention is necessary due to severe prolapse.
Document indications for surgery, including severity of tissue weakness.
Obstetricians should ensure comprehensive pre-operative assessments are documented.
Common symptoms include pelvic pressure, urinary incontinence, and vaginal bulging, which may worsen with activities such as coughing or lifting.
Diagnosis typically involves a pelvic examination, patient history, and may include imaging studies to assess the extent of tissue weakening.
