Cervical stump prolapse
ICD-10 N81.85 is a billable code used to indicate a diagnosis of cervical stump prolapse.
Cervical stump prolapse occurs when the remnant of the cervix, following a hysterectomy, descends into the vaginal canal due to weakened pelvic support structures. This condition can lead to significant discomfort, urinary issues, and sexual dysfunction. It is often associated with other pelvic floor disorders, including pelvic organ prolapse, which may involve the bladder (cystocele), rectum (rectocele), or uterus. The pathophysiology of cervical stump prolapse involves the loss of structural integrity of the pelvic floor, often exacerbated by factors such as childbirth, obesity, and aging. Patients may present with symptoms such as a sensation of fullness or pressure in the vagina, visible protrusion of tissue, and urinary incontinence. Diagnosis is typically made through a pelvic examination, and treatment options may include pelvic floor exercises, pessary placement, or surgical intervention to restore normal anatomy and function. Understanding the interplay between cervical stump prolapse and other conditions like endometriosis, pelvic organ prolapse, and ovarian disorders is crucial for comprehensive management.
Detailed surgical history, current symptoms, and examination findings.
Post-hysterectomy patients presenting with pelvic pressure or protrusion.
Ensure clear documentation of the type of hysterectomy performed and any associated pelvic floor disorders.
Assessment of urinary symptoms and pelvic floor function.
Patients with urinary incontinence and pelvic organ prolapse.
Document any urodynamic studies performed to assess bladder function.
Often performed in conjunction with treatment for cervical stump prolapse.
Document the specific procedures performed and any associated diagnoses.
Obstetricians should ensure that all relevant pelvic floor disorders are documented.
Cervical stump prolapse is the descent of the cervical remnant into the vaginal canal following a hysterectomy, often leading to discomfort and urinary issues.
Diagnosis is typically made through a pelvic examination, where the clinician assesses the position of the cervical stump and any associated symptoms.
Treatment options may include pelvic floor exercises, pessary placement, or surgical intervention to restore normal anatomy.
