Incomplete uterovaginal prolapse
ICD-10 N81.2 is a billable code used to indicate a diagnosis of incomplete uterovaginal prolapse.
Incomplete uterovaginal prolapse is a condition characterized by the descent of the uterus and/or vaginal walls into the vaginal canal, but not to the extent that the cervix or vaginal walls protrude outside the vaginal opening. This condition can arise due to various factors, including weakened pelvic support structures, childbirth trauma, hormonal changes, and aging. Patients may present with symptoms such as pelvic pressure, urinary incontinence, or difficulty with bowel movements. The condition can be associated with other gynecological issues, including endometriosis, which can complicate the clinical picture. Incomplete uterovaginal prolapse may also coexist with other forms of female genital prolapse, such as cystocele or rectocele, and can lead to the development of fistulas if left untreated. Management may involve pelvic floor exercises, pessary use, or surgical intervention, depending on the severity of the prolapse and the patient's overall health status.
Detailed documentation of pelvic examination findings, symptomatology, and treatment plans.
Patients presenting with pelvic pressure, urinary incontinence, or a history of childbirth.
Ensure that all associated conditions are documented to support the diagnosis and treatment plan.
Documentation of urinary symptoms and any urodynamic studies performed.
Patients with urinary incontinence related to pelvic organ prolapse.
Collaboration with gynecologists for comprehensive management of prolapse and urinary issues.
Used in conjunction with N81.2 when surgical intervention is required.
Document the type of repair performed and any associated findings.
Ensure collaboration between gynecology and urology for comprehensive care.
Common symptoms include pelvic pressure, urinary incontinence, and difficulty with bowel movements. Patients may also report a sensation of vaginal bulging.
