ICD-10: T83.091

ICD-10 code T83.091 refers to "Other mechanical complication of indwelling urethral catheter." This code is part of the broader category of mechanical complications associated with indwelling devices, specifically focusing on issues arising from urethral catheters.

Clinical Description

Definition

The term "indwelling urethral catheter" refers to a tube inserted into the bladder through the urethra to drain urine. These catheters are commonly used in various clinical settings, including post-surgical care, management of urinary retention, and in patients with certain medical conditions that impair normal urination.

Mechanical Complications

Mechanical complications can arise from the use of indwelling urethral catheters, leading to various clinical issues. The complications categorized under T83.091 may include:

• Obstruction: This can occur due to kinking or blockage of the catheter, which may prevent proper drainage of urine.
• Displacement: The catheter may become dislodged from its intended position, leading to ineffective drainage or injury to the urethra.
• Injury: Mechanical trauma to the urethra or bladder can occur during catheter insertion or removal, potentially resulting in bleeding or infection.
• Infection: While not strictly a mechanical complication, the presence of a catheter increases the risk of urinary tract infections (UTIs), which can complicate the clinical picture.

Symptoms

Patients experiencing complications from an indwelling urethral catheter may present with symptoms such as:

• Difficulty urinating or inability to void
• Pain or discomfort in the lower abdomen or pelvic area
• Visible blood in urine (hematuria)
• Fever or chills, indicating possible infection
• Leakage of urine around the catheter site

Diagnosis and Management

Diagnosis

Diagnosis of complications related to indwelling urethral catheters typically involves:

• Clinical Assessment: A thorough history and physical examination to identify symptoms and potential complications.
• Imaging Studies: Ultrasound or X-rays may be used to assess the position of the catheter and check for obstructions or injuries.
• Urinalysis: Testing urine for signs of infection or hematuria.

Management

Management of mechanical complications may include:

• Catheter Replacement: If the catheter is obstructed or displaced, replacing it may be necessary.
• Surgical Intervention: In cases of significant injury or complications, surgical repair may be required.
• Antibiotic Therapy: If an infection is present, appropriate antibiotics should be administered.

Conclusion

ICD-10 code T83.091 captures a critical aspect of patient care involving indwelling urethral catheters. Understanding the potential mechanical complications associated with these devices is essential for healthcare providers to ensure timely diagnosis and effective management, ultimately improving patient outcomes. Proper monitoring and care can help mitigate risks and address complications as they arise, ensuring the safety and comfort of patients requiring catheterization.