N82

Fistulae involving the female genital tract are abnormal connections between the female reproductive organs and other structures, often resulting from conditions such as endometriosis, pelvic inflammatory disease, or trauma. These fistulae can manifest as vesicovaginal, rectovaginal, or urethrovaginal fistulas, leading to significant morbidity. Endometriosis, characterized by the presence of endometrial-like tissue outside the uterus, can cause scarring and adhesions that may contribute to fistula formation. Female genital prolapse, where pelvic organs descend due to weakened pelvic support structures, can also lead to fistula development. Ovarian disorders, such as cysts or tumors, may complicate the clinical picture, while polyps in the female genital tract can present diagnostic challenges. Accurate diagnosis often requires imaging studies and a thorough clinical evaluation. Treatment typically involves surgical intervention to repair the fistula and address any underlying conditions. The complexity of coding for these conditions arises from the need to differentiate between various types of fistulae and their etiologies, as well as the potential for coexisting conditions.