Urethral diverticulum
ICD-10 N36.1 is a billable code used to indicate a diagnosis of urethral diverticulum.
Urethral diverticulum is a condition characterized by the formation of a pouch or sac-like structure that protrudes from the urethra. This condition can occur in both men and women, although it is more commonly seen in women. The diverticulum can be caused by chronic inflammation, trauma, or surgical procedures affecting the urethra. Patients may present with symptoms such as recurrent urinary tract infections, dysuria, urinary incontinence, and pelvic pain. Diagnosis is typically made through imaging studies such as ultrasound or MRI, and cystoscopy may be performed for direct visualization. Treatment often involves surgical intervention to excise the diverticulum and repair the urethra. Complications can include persistent urinary symptoms, stricture formation, and recurrence of the diverticulum. Understanding the underlying causes and associated conditions, such as urethritis and urethral stricture, is crucial for effective management and coding of this condition.
Detailed clinical notes including symptoms, imaging results, and treatment plans.
Patients presenting with recurrent UTIs, pelvic pain, or urinary incontinence.
Ensure accurate documentation of surgical interventions and follow-up care.
Comprehensive history and physical examination, including pelvic exams.
Women with pelvic pain and urinary symptoms potentially related to diverticulum.
Consideration of pelvic floor disorders and their impact on urinary function.
Used when performing cystoscopy to assess the diverticulum.
Document findings from cystoscopy and any interventions performed.
Urology specialists should ensure detailed procedural notes.
Common symptoms include recurrent urinary tract infections, dysuria, urinary incontinence, and pelvic pain.
Diagnosis is typically made through imaging studies such as ultrasound or MRI, and cystoscopy may be performed for direct visualization.
Treatment often involves surgical intervention to excise the diverticulum and repair the urethra.
