Calculus in urethra
ICD-10 N21.1 is a billable code used to indicate a diagnosis of calculus in urethra.
Calculus in the urethra refers to the presence of stones or mineral deposits that form within the urethra, the tube that carries urine from the bladder to the outside of the body. Urethral calculi can result from various factors, including dehydration, dietary habits, and metabolic disorders. These stones can cause significant discomfort, urinary obstruction, and may lead to complications such as urinary tract infections (UTIs) or kidney damage if not addressed promptly. Patients may present with symptoms such as hematuria (blood in urine), dysuria (painful urination), and urinary retention. Diagnosis typically involves imaging studies such as ultrasound or CT scans, and treatment options may include lithotripsy, which uses shock waves to break up stones, or surgical removal in more severe cases. Dietary modifications, such as increased fluid intake and reduced intake of oxalate-rich foods, can help prevent recurrence. Understanding the underlying causes and appropriate management strategies is crucial for effective treatment and prevention of urethral calculi.
Detailed documentation of the patient's symptoms, imaging results, and treatment plan is essential.
Patients presenting with acute urinary obstruction, recurrent UTIs, or hematuria.
Urologists must document the size and location of the calculus, as well as any surgical interventions performed.
Comprehensive history and physical examination findings, including dietary habits and fluid intake.
Patients with recurrent urinary symptoms or those with a history of urolithiasis.
Primary care providers should document referrals to specialists and any preventive measures discussed with the patient.
Used when a urethral calculus requires surgical intervention.
Document the procedure performed, findings, and any complications.
Urologists should ensure that the procedure is clearly linked to the diagnosis of urethral calculus.
Common symptoms include painful urination (dysuria), blood in urine (hematuria), and urinary retention. Patients may also experience severe pelvic or abdominal pain.
Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with a review of the patient's symptoms and medical history.
Treatment options include lithotripsy to break up stones, surgical removal, and dietary modifications to prevent recurrence.