Congenital ureterocele, orthotopic
ICD-10 Q62.31 is a billable code used to indicate a diagnosis of congenital ureterocele, orthotopic.
Congenital ureterocele is a malformation of the urinary system characterized by the abnormal dilation of the ureter at its junction with the bladder, leading to the formation of a cystic structure. An orthotopic ureterocele occurs when the ureter opens into the bladder at its normal anatomical location. This condition can lead to urinary obstruction, recurrent urinary tract infections, and potential renal damage if not diagnosed and managed appropriately. In pediatric patients, it is often associated with other congenital anomalies of the urinary tract, such as renal agenesis, bladder exstrophy, or posterior urethral valves. Diagnosis typically involves imaging studies such as ultrasound or voiding cystourethrogram (VCUG) to assess the urinary tract's anatomy and function. Treatment may include surgical intervention to correct the ureterocele and relieve any obstruction, with careful monitoring for associated conditions.
Detailed history of urinary symptoms, imaging results, and any surgical interventions performed.
Pediatric patients presenting with recurrent UTIs, abdominal pain, or urinary obstruction.
Consideration of growth and development impacts on urinary function and the need for long-term follow-up.
Family history of congenital anomalies, genetic testing results if applicable, and any syndromic associations.
Patients with multiple congenital anomalies requiring genetic counseling and evaluation.
Understanding the genetic basis of congenital urinary tract malformations and their implications for family planning.
Used when surgical intervention is required for an orthotopic ureterocele.
Document the indication for surgery, findings during cystoscopy, and details of the incision.
Pediatric urologists should ensure all relevant congenital anomalies are documented.
Common complications include urinary obstruction, recurrent urinary tract infections, and potential renal damage if not treated. Early diagnosis and management are crucial to prevent these complications.
