Pelvic organ prolapse ICD 10 (POP) is when the ligaments, muscles, and tissues that support your pelvic organs become too weak to keep them in their usual place. Your pelvic floor muscles operate to support your organs, such as your vagina, bladder, uterus, and rectum. The organs they support usually move out of their normal position if these muscles become too lax or are damaged.
Pelvic organ prolapse, along with urine and fecal incontinence, is one kind of pelvic floor disorder. Your organs may drop in mild instances of POP. They may expand beyond your vagina and form bulges in more severe situations.
According to research, up to 40% of women worldwide have some degree of pelvic organ prolapse at some point in their life. Many women never need treatment. Others, on the other hand, have urine leaks, constipation, back discomfort, and painful intercourse, all of which may impair their quality of life and create embarrassment.
You are not alone if you are suffering symptoms of pelvic organ prolapse. You don’t have to put up with it for the rest of your life, either. Several treatment options are available to help you return to doing the stuff you like.
How serious is pelvic organ prolapse ICD 10?
The Pelvic Organ Prolapse Quantification (POP-Q) approach categorizes female genital prolapse according to how mild or serious it is. The scale spans from 1 to 4.
Stage One indicates that your organs have not changed in any way. Stage Four indicates that you have a full uterine prolapse. The most extreme kind is a complete prolapse. It might entail an organ protruding from your body.
Treatment options applicable to female patients will be determined by the kind of prolapse as well as the severity of the prolapse.
In general, prolapse causes no particular symptoms in women. However, they may have symptoms based on the type of vaginal prolapse that has developed.
One of the most typical symptoms connected with uterine prolapse is that tissues or structures in the vagina are out of position. Most women describe the sensation as “something coming down” or a dragging sensation.
This might include a protrusion or pressure in the vagina. Most of the time, the more advanced the prolapse, the more intense the related symptoms.
Other signs and symptoms include pelvic organ prolapse ICD 10:
· A sensation of pressure or heaviness in the vaginal area
· A lump at the vaginal opening
· Urinary stress incontinence
· Pain that worsens with prolonged standing
· Pain during sex
· Frequent bladder infections
· Difficulties with bowel/bladder emptying
· Backache
· Unusual vaginal bleeding
Is there surgery to fix your pelvic floor?
Nonsurgical methods are typically the primary line of therapy for POP since any surgical technique might offer risks or produce problems. If additional conservative treatments fail, your doctor may suggest surgery.
Nonsurgical therapies
Treatment options include:
Vaginal pessary – A removable silicone device inserted into your vaginal orifice by your physician to support a drooping organ in place.
Pelvic floor exercises (Kegel exercises): Pelvic floor strengthening exercises. Your clinician may send you to a physical therapist who will assess your muscle strength and give you specialized exercises to develop these muscles.
Surgical procedures
Surgery may be possible if conservative therapy has not alleviated your uterovaginal prolapse and you no longer want to have children. Childbirth after surgery may increase the likelihood of your prolapse returning.
There are two types of surgeries: obliterative surgery and reconstructive surgery. Obliterative surgery closes the vaginal walls, preventing organs and the entire uterus from bulging. Reconstructive surgery strengthens the weak areas of your pelvic floor.
Colpocleisis is a surgical technique that results in a shortened vagina. It keeps your organs from protruding outside of your body. It’s a viable alternative if you’re too weak for reconstructive surgery and no longer want penetrative sex.
Colporrhaphy is a procedure that cures anterior or posterior vaginal wall prolapse. Your healthcare professional will conduct surgery via your vagina using colporrhaphy. They use dissolvable sutures to strengthen your vaginal walls and support your bladder and rectum.
Sacrocolpopexy is a procedure used to treat vaginal vault prolapse and enterocele. It might include an incision in your belly or a less invasive treatment known as uterine and adnexa procedures or laparoscopy. During the operation, your practitioner will apply surgical mesh to your vaginal walls and tailbone. Your vagina is lifted back into position by the mesh.
Sacrohysteropexy. Your physician wraps surgical mesh over your cervix and vagina, then wraps it around your tailbone, elevating your uterus into position. If you do not want your uterus removed, you may get sacrohysteropexy (a hysterectomy).
Uterosacral or sacrospinous ligament fixation treats uterine prolapse or vaginal vault prolapse by using your tissues. It, like colporrhaphy, is done via your vagina. During the operation, your physician uses dissolvable sutures to link your vaginal orifice to a ligament or muscle in your pelvis. This procedure is also known as native tissue repair.
During your pelvic prolapse POP surgery, your physician may recommend further treatments. Some operations, for example, may need a hysterectomy to access and repair pelvic floor muscles. During surgery, your physician may address other disorders accompanying POP, such as stress urinary incontinence.
What happens if the prolapse is left untreated?
If left untreated, prolapse may remain the same, improve, or worsen over time. The one exception to this norm is that new prolapse discovered by a patient or clinician in the early postpartum period usually improves within the first year following birth.
Your symptoms should determine the treatment of prolapse. Severe prolapse may induce urine retention (inability to empty the bladder), leading to renal damage or infection in rare circumstances.
When this happens, prolapse therapy is advised. In most other circumstances, individuals should be the ones to determine when their prolapse should be addressed depending on their symptoms.
ICD 10 cm coding rules
ICD-10 cm code for prolapse is a medical categorization specified by WHO within the range – Diseases of the genitourinary system.
Diagnostic testing and treatment techniques for vaginal prolapse must be properly coded and recorded. A seasoned medical billing organization can assist doctors in reporting the right billing codes for female reproductive system disorders.
N81 is the ICD-10 category for uterine prolapse codes.
N81 – Female genital prolapse
· N81.0 – Urethrocele
· N81.1 – Cystocele
o N81.10 – Cystocele, unspecified
o N81.11 – Cystocele, midline
o N81.12 – Cystocele, lateral
· N81.2 – Incomplete uterovaginal prolapse
· N81.3 – Complete uterovaginal prolapse
· N81.4 – Uterovaginal prolapse, unspecified
· N81.5 – Vaginal enterocele
· N81.6 – Rectocele
· N81.8 – Other female genital prolapse
o N81.81 – Perineocele
o N81.82 – Incompetence or weakening of pubocervical tissue
o N81.83 – Incompetence or weakening of rectovaginal tissue
o N81.84 – Hernia and prolapse of ovary or fallopian tube
o N81.85 – Cervical stump prolapse
o N81.89 – Other female genital prolapse
· N81.9 – Female genital prolapse, unspecified
If you or someone you know is suffering from pelvic prolapse pain due to transvaginal mesh, please contact Law Offices of Tom Plouff Chicago for a free consultation.
