Female genital tract-skin fistulae
ICD-10 N82.5 is a billable code used to indicate a diagnosis of female genital tract-skin fistulae.
Female genital tract-skin fistulae refer to abnormal connections between the female genital tract and the skin, often resulting from various underlying conditions such as endometriosis, female genital prolapse, or surgical complications. These fistulae can lead to significant morbidity, including chronic pain, infection, and social stigma due to incontinence or odor. Endometriosis, characterized by the presence of endometrial-like tissue outside the uterus, can cause adhesions and subsequent fistula formation. Female genital prolapse may also contribute to fistula development, particularly in cases where tissue integrity is compromised. Additionally, fistulas can arise from ovarian disorders, such as cysts or tumors, that erode into adjacent structures. Polyps in the female genital tract, while less commonly associated with fistulae, can also contribute to abnormal connections if they lead to tissue necrosis or ulceration. Accurate diagnosis and management of these conditions are crucial to prevent complications and improve the quality of life for affected individuals.
Detailed surgical history, descriptions of the fistula, and associated conditions must be documented.
Management of endometriosis-related fistulae, repair of prolapse-related fistulae.
Ensure that all relevant diagnostic tests and imaging studies are included in the documentation.
Comprehensive assessment of urinary function and any surgical interventions performed.
Evaluation and repair of urethrovaginal or vesicovaginal fistulae.
Collaboration with gynecologists may be necessary for complex cases.
Used when endometriosis is the underlying cause of the fistula.
Document the extent of endometriosis and any associated procedures performed.
Collaboration with gynecology for comprehensive care.
Common causes include endometriosis, female genital prolapse, surgical complications, and malignancies affecting the reproductive organs.
