Splitting of urinary stream
ICD-10 R39.13 is a billable code used to indicate a diagnosis of splitting of urinary stream.
Splitting of urinary stream refers to a clinical symptom where the urinary stream diverges into two or more streams during urination. This phenomenon can be indicative of underlying urological conditions, such as urethral stricture, prostatic enlargement, or bladder dysfunction. Patients may describe the experience as a 'forking' of the urine stream, which can lead to difficulties in urination, incomplete bladder emptying, and increased urinary frequency or urgency. The symptom may be accompanied by other urinary complaints, such as dysuria or hematuria, and can significantly impact the quality of life. It is essential for healthcare providers to conduct a thorough evaluation, including a detailed history and physical examination, to determine the underlying cause of the splitting stream, which may involve imaging studies or urodynamic testing. Accurate diagnosis is crucial for effective management and treatment of the underlying condition.
Detailed history of urinary symptoms, physical examination findings, and any relevant diagnostic tests.
Patients presenting with urinary complaints, including splitting of stream, may have concurrent conditions such as diabetes or hypertension.
Consideration of comorbidities that may affect urinary function, such as neurological disorders.
Acute assessment of urinary symptoms, including onset, duration, and associated symptoms.
Patients presenting with acute urinary retention or severe dysuria may report splitting of stream.
Rapid assessment and intervention may be necessary, requiring clear documentation of findings and interventions.
Used when evaluating urinary symptoms including splitting of stream.
Document indications for urodynamics and findings.
Urology specialists often perform these tests.
Splitting of urinary stream can indicate underlying urological issues such as urethral stricture or prostatic enlargement, necessitating further evaluation and management.
