Congenital stricture of urinary meatus
ICD-10 Q64.33 is a billable code used to indicate a diagnosis of congenital stricture of urinary meatus.
Congenital stricture of the urinary meatus is a condition characterized by a narrowing of the urethral opening at birth, which can lead to urinary obstruction and complications such as urinary tract infections (UTIs) and difficulty in urination. This condition may occur in isolation or as part of a spectrum of congenital malformations affecting the urinary system. Congenital malformations of the urinary system can include renal agenesis, where one or both kidneys fail to develop; polycystic kidney disease, characterized by the formation of numerous cysts in the kidneys; bladder exstrophy, a condition where the bladder is exposed outside the body; and posterior urethral valves, which are abnormal flaps of tissue that obstruct urine flow in males. The severity of urinary meatus stricture can vary, and treatment may involve surgical intervention to widen the urethral opening, thereby improving urinary function and preventing further complications. Early diagnosis and management are crucial to ensure optimal outcomes for affected infants and children.
Documentation must include detailed descriptions of urinary symptoms, associated congenital anomalies, and treatment plans.
Pediatric patients presenting with urinary obstruction, recurrent UTIs, or abnormal urinary stream.
Consideration of growth and development impacts on urinary function and the need for multidisciplinary care.
Genetic evaluations should document any chromosomal abnormalities or syndromic associations.
Cases where congenital stricture is part of a genetic syndrome, requiring genetic counseling.
Understanding the genetic basis of associated conditions and implications for family planning.
Used in cases of congenital stricture to relieve obstruction.
Document indication for dilation, procedure details, and follow-up care.
Pediatric urologists may have specific protocols for managing congenital strictures.
Common treatments include surgical intervention to widen the urethral opening, urethral dilation, and monitoring for urinary tract infections. The choice of treatment depends on the severity of the stricture and associated conditions.
