Congenital posterior urethral valves
ICD-10 Q64.2 is a billable code used to indicate a diagnosis of congenital posterior urethral valves.
Congenital posterior urethral valves (PUV) are a significant cause of urinary obstruction in male infants, characterized by the presence of abnormal flaps of tissue in the posterior urethra. These valves can obstruct urine flow from the bladder, leading to a range of complications including hydronephrosis, renal damage, and bladder dysfunction. The condition is often diagnosed prenatally via ultrasound, where signs such as dilated renal pelvis and bladder distension may be observed. Postnatally, symptoms may include poor urinary stream, urinary tract infections, and failure to thrive. Management typically involves surgical intervention to remove the valves, which can significantly improve urinary function and renal outcomes. Long-term follow-up is essential, as patients may develop complications such as bladder dysfunction or recurrent urinary tract infections. The condition is part of a broader category of congenital malformations affecting the urinary system, including renal agenesis, polycystic kidney disease, and bladder exstrophy, each presenting unique challenges in diagnosis and management.
Detailed clinical notes on urinary symptoms, imaging results, and surgical interventions.
Infants presenting with urinary obstruction, prenatal diagnosis of PUV, and post-surgical follow-up.
Consideration of associated anomalies and long-term renal function monitoring.
Genetic counseling notes, family history, and any chromosomal analysis results.
Assessment of genetic syndromes associated with urinary malformations.
Awareness of potential chromosomal abnormalities that may co-occur with PUV.
Used during surgical intervention for PUV.
Document indication for procedure and findings during cystoscopy.
Urology specialists should ensure accurate coding of surgical interventions.
Common complications include hydronephrosis, recurrent urinary tract infections, and bladder dysfunction. Long-term follow-up is essential to monitor renal function and manage any arising issues.
