Hesitancy of micturition
ICD-10 R39.11 is a billable code used to indicate a diagnosis of hesitancy of micturition.
Hesitancy of micturition refers to the difficulty or delay in initiating urination. This symptom can be indicative of various underlying conditions affecting the urinary tract or bladder function. Patients may experience a sensation of needing to urinate but find it challenging to start the flow of urine. This condition can be associated with a range of symptoms including straining to urinate, a weak urine stream, or a feeling of incomplete bladder emptying. Common causes include benign prostatic hyperplasia (BPH) in men, urinary tract infections (UTIs), neurological disorders, and certain medications that affect bladder function. The clinical significance of hesitancy lies in its potential to indicate obstructive uropathy or other serious conditions, necessitating a thorough evaluation. Diagnosis typically involves a detailed patient history, physical examination, urinalysis, and possibly imaging studies or urodynamic testing to assess bladder function and rule out anatomical abnormalities.
Detailed patient history including onset, duration, and associated symptoms; physical examination findings; and any relevant lab results.
Patients presenting with urinary hesitancy due to BPH or urinary tract infections.
Consideration of comorbidities that may affect urinary function, such as diabetes or neurological disorders.
Acute assessment of urinary symptoms, including vital signs and immediate lab tests if indicated.
Patients presenting with acute urinary retention or severe discomfort due to hesitancy.
Rapid assessment and intervention may be necessary, particularly in cases of acute urinary retention.
Used when assessing bladder function in patients with hesitancy.
Document indications for urodynamic testing and findings.
Urology specialists often perform this procedure.
The primary cause of hesitancy of micturition is often benign prostatic hyperplasia in older males, but it can also be due to urinary tract infections, neurological disorders, or medication side effects.
