Urethral caruncle
ICD-10 N36.2 is a billable code used to indicate a diagnosis of urethral caruncle.
A urethral caruncle is a benign growth that typically occurs at the external urethral meatus, primarily in postmenopausal women. It presents as a small, red, fleshy mass that can cause symptoms such as dysuria, urinary frequency, and discomfort during urination. The exact etiology of urethral caruncles is not well understood, but they are thought to be related to hormonal changes, particularly the decrease in estrogen levels after menopause. Diagnosis is usually made through physical examination, and in some cases, a biopsy may be performed to rule out malignancy. Treatment options include observation, topical estrogen therapy, or surgical excision if the caruncle is symptomatic or causing significant discomfort. Urethral caruncles are often associated with other urinary disorders, such as urethritis or urinary tract infections, which can complicate the clinical picture. Understanding the relationship between urethral caruncles and other urinary system disorders is crucial for accurate diagnosis and management.
Detailed clinical notes including symptoms, examination findings, and treatment plans.
Evaluation of a patient presenting with dysuria and a visible mass at the urethral meatus.
Ensure to document any co-existing urinary conditions that may affect treatment.
History of menopause, hormonal treatments, and any associated gynecological conditions.
Postmenopausal women presenting with urinary symptoms and a urethral mass.
Consider the impact of hormonal changes on the development of urethral caruncles.
Performed when the caruncle is symptomatic or causing significant discomfort.
Document the indication for surgery and the findings during the procedure.
Urology specialists should ensure proper coding for excision procedures.
A urethral caruncle is a benign growth that occurs at the external urethral meatus, often presenting with urinary symptoms, particularly in postmenopausal women.
Treatment may include observation, topical estrogen therapy, or surgical excision if the caruncle is symptomatic.
