Priapism, drug-induced
ICD-10 N48.33 is a billable code used to indicate a diagnosis of priapism, drug-induced.
Priapism is a prolonged and often painful erection that lasts for more than four hours and occurs without sexual stimulation. Drug-induced priapism can result from various medications, including those used for erectile dysfunction, antipsychotics, and anticoagulants. The condition can lead to significant complications, including erectile dysfunction and penile tissue damage if not treated promptly. The pathophysiology involves impaired venous outflow from the penis, leading to engorgement of the erectile tissues. Clinicians must differentiate between ischemic and non-ischemic priapism, as the management strategies differ significantly. Ischemic priapism, which is more common in drug-induced cases, requires urgent intervention to prevent irreversible damage. Treatment may involve aspiration of blood from the corpora cavernosa, administration of sympathomimetic agents, or surgical intervention in severe cases. Understanding the underlying cause, including medication history, is crucial for effective management and prevention of recurrence.
Detailed history of presenting symptoms, medication list, and treatment response.
Patients presenting with prolonged erections after starting new medications, or those with a history of priapism.
Urologists must document the urgency of treatment and any interventions performed.
Comprehensive medication management records, including psychotropic medications that may induce priapism.
Patients on antipsychotic medications presenting with priapism.
Psychiatrists should be aware of the potential side effects of medications and document any changes in treatment.
Used in cases of ischemic priapism to relieve symptoms.
Document the procedure performed, indication, and patient response.
Urologists must ensure proper coding for the procedure based on the diagnosis.
Medications such as trazodone, certain antipsychotics (like clozapine), and anticoagulants are commonly associated with drug-induced priapism. It's important to review the patient's medication history thoroughly.
