Fistula of vagina to large intestine
ICD-10 N82.3 is a billable code used to indicate a diagnosis of fistula of vagina to large intestine.
A fistula of the vagina to the large intestine is an abnormal connection that forms between the vaginal canal and the large intestine, often resulting from complications of pelvic surgery, inflammatory bowel disease, or malignancies. This condition can lead to significant morbidity, including fecal incontinence, recurrent urinary tract infections, and chronic pelvic pain. Patients may present with symptoms such as vaginal discharge, fecal matter in the vagina, and discomfort during intercourse. The development of such a fistula can be associated with underlying conditions like endometriosis, which can cause scarring and adhesions, or female genital prolapse, where pelvic support structures weaken, potentially leading to abnormal connections. Ovarian disorders and polyps of the female genital tract may also contribute to the risk of developing fistulas due to their impact on pelvic anatomy and function. Diagnosis typically involves a thorough clinical examination, imaging studies, and sometimes endoscopic evaluation to confirm the presence of the fistula and assess its extent. Treatment often requires surgical intervention to repair the fistula and restore normal anatomy.
Detailed surgical history, description of the fistula, and associated conditions.
Post-surgical complications, endometriosis management, and pelvic organ prolapse cases.
Ensure accurate representation of the fistula's characteristics and any related gynecological conditions.
Assessment of gastrointestinal health, imaging results, and any prior interventions.
Patients with inflammatory bowel disease or malignancies leading to fistula formation.
Collaboration with gynecologists for comprehensive care and accurate coding.
Used when a surgical repair of the vaginal to large intestine fistula is performed.
Operative report detailing the procedure and findings.
Gynecologists should document the surgical approach and any complications encountered.
Common causes include surgical complications, inflammatory bowel disease, malignancies, and chronic pelvic inflammatory conditions.
