Priapism due to disease classified elsewhere
ICD-10 N48.32 is a billable code used to indicate a diagnosis of priapism due to disease classified elsewhere.
Priapism is a prolonged and often painful erection that lasts for more than four hours and occurs without sexual stimulation. When classified under N48.32, it indicates that the priapism is secondary to another underlying disease. Conditions such as hydrocele, testicular disorders, orchitis, and penile disorders can contribute to the development of priapism. Hydrocele, characterized by fluid accumulation around the testicle, may lead to increased pressure and vascular changes that precipitate priapism. Testicular disorders, including torsion or trauma, can also disrupt normal blood flow and lead to this condition. Orchitis, an inflammation of the testis, can cause vascular engorgement, while penile disorders such as Peyronie's disease may contribute to abnormal blood flow dynamics. Male infertility can be associated with priapism, as the underlying conditions affecting erectile function may also impact fertility. Effective andrological management is crucial, involving a multidisciplinary approach to address the primary disease and alleviate symptoms of priapism. Treatment may include medications, aspiration, or surgical interventions depending on the severity and underlying cause.
Detailed clinical notes on the patient's history, examination findings, and treatment plan.
Patients presenting with prolonged erections, pain, or discomfort, often following trauma or infection.
Ensure that the underlying cause is clearly documented to support the use of N48.32.
Comprehensive assessment of male reproductive health, including fertility evaluations.
Men with infertility issues presenting with priapism due to underlying testicular disorders.
Focus on the relationship between priapism and fertility, ensuring all relevant tests and findings are documented.
Used in cases of ischemic priapism to relieve pressure.
Document the indication for aspiration and any findings during the procedure.
Urologists should ensure that the procedure is justified based on clinical presentation.
Common causes include hydrocele, testicular torsion, orchitis, and other penile disorders that disrupt normal blood flow.
Ensure thorough documentation of the underlying condition and clearly differentiate between primary and secondary priapism.
