Poor urinary stream
ICD-10 R39.12 is a billable code used to indicate a diagnosis of poor urinary stream.
Poor urinary stream refers to a clinical symptom characterized by a weak or diminished flow of urine during micturition. This condition can manifest as difficulty initiating urination, a prolonged time to void, or a sensation of incomplete bladder emptying. It is often associated with various underlying conditions, including benign prostatic hyperplasia (BPH) in men, urethral stricture, bladder outlet obstruction, or neurological disorders affecting bladder function. Patients may report straining to urinate, a decrease in the force of the urinary stream, or dribbling at the end of urination. The symptom can significantly impact quality of life, leading to urinary retention or recurrent urinary tract infections (UTIs). Clinical evaluation typically involves a thorough history and physical examination, urinalysis, and possibly imaging studies or urodynamic testing to determine the underlying cause. Understanding the etiology of poor urinary stream is crucial for effective management and treatment.
Detailed patient history, including duration and severity of symptoms, associated urinary symptoms, and any prior treatments.
Patients presenting with chronic urinary symptoms, often in older adults with potential BPH.
Consideration of comorbidities such as diabetes or neurological disorders that may affect bladder function.
Acute presentation documentation, including vital signs, acute symptoms, and any immediate interventions.
Patients presenting with acute urinary retention or severe discomfort due to poor urinary stream.
Rapid assessment and management of potential complications such as urinary tract infections or acute kidney injury.
Used to evaluate bladder function in patients with poor urinary stream.
Documentation of indications for urodynamic testing and results.
Urology specialists often perform these tests to assess bladder outlet obstruction.
Document the patient's symptoms, duration, severity, and any relevant medical history or findings that may contribute to the poor urinary stream. Include any diagnostic tests performed and their results.
