Epididymitis
ICD-10 N45.1 is a billable code used to indicate a diagnosis of epididymitis.
Epididymitis is an inflammation of the epididymis, a coiled tube located at the back of the testicle that stores and matures sperm. This condition can be acute or chronic and is often caused by bacterial infections, sexually transmitted infections (STIs), or urinary tract infections. Symptoms typically include unilateral scrotal pain, swelling, and tenderness, which may be accompanied by fever and dysuria. In some cases, epididymitis can lead to complications such as abscess formation, testicular necrosis, or infertility. The condition is often associated with other testicular disorders, including orchitis, which is inflammation of the testis itself. Management may involve antibiotics, analgesics, and supportive care. In chronic cases, further evaluation for underlying causes such as hydrocele or male infertility may be necessary. Proper diagnosis and treatment are crucial to prevent long-term complications, including penile disorders and fertility issues.
Detailed clinical notes including patient history, physical examination findings, and diagnostic test results.
Patients presenting with acute scrotal pain, swelling, and fever; chronic cases with recurrent symptoms.
Consideration of STIs and other infectious causes; documentation of any surgical interventions or referrals.
Comprehensive history and physical examination, including sexual history and urinary symptoms.
Initial evaluation of scrotal pain; management of uncomplicated cases.
Coordination with urology for referrals; documentation of follow-up care and treatment response.
Used to evaluate scrotal pain and swelling.
Indicate the reason for the ultrasound and findings.
Urologists may order this as part of the diagnostic workup.
Common causes include bacterial infections, particularly from STIs like Chlamydia and Gonorrhea, as well as urinary tract infections and non-infectious causes like trauma.
Diagnosis is typically made through clinical evaluation, including history and physical examination, and may be supported by imaging studies and laboratory tests.
Treatment usually involves antibiotics for bacterial infections, pain management, and supportive care. Chronic cases may require further evaluation and management.
