Combined hypermobility of urethra and intrinsic sphincter deficiency
ICD-10 N36.43 is a billable code used to indicate a diagnosis of combined hypermobility of urethra and intrinsic sphincter deficiency.
Combined hypermobility of the urethra and intrinsic sphincter deficiency is a condition characterized by the inability of the urethra to maintain closure due to excessive mobility and weakness of the intrinsic sphincter mechanism. This condition often leads to urinary incontinence, particularly stress urinary incontinence, where physical activities such as coughing, sneezing, or exercise can trigger involuntary leakage of urine. The hypermobility of the urethra can be attributed to various factors, including pelvic floor dysfunction, hormonal changes, and anatomical variations. Patients may present with symptoms such as frequent urination, urgency, and nocturia. Diagnosis typically involves a thorough clinical evaluation, including a detailed history, physical examination, and possibly urodynamic studies to assess bladder function and sphincter integrity. Treatment options may include pelvic floor rehabilitation, pharmacotherapy, and surgical interventions aimed at restoring urethral support and function.
Detailed urodynamic study results, physical examination findings, and treatment plans.
Evaluation of patients with urinary incontinence, pelvic pain, and post-surgical complications.
Ensure clarity in documenting the relationship between hypermobility and sphincter function.
History of pelvic floor disorders, obstetric history, and any previous surgical interventions.
Management of female patients with urinary incontinence post-childbirth.
Document any pelvic floor assessments and their implications on urinary function.
Used to evaluate bladder function in patients suspected of having urinary incontinence.
Complete urodynamic study results and interpretation.
Urologists should document the rationale for the study and findings.
Common symptoms include urinary incontinence, urgency, frequency, and nocturia, often exacerbated by physical activities.
Diagnosis typically involves a detailed clinical history, physical examination, and urodynamic studies to assess bladder and sphincter function.
