Retrograde ejaculation
ICD-10 N53.14 is a billable code used to indicate a diagnosis of retrograde ejaculation.
Retrograde ejaculation is a condition characterized by the backward flow of semen into the bladder instead of being expelled through the urethra during ejaculation. This condition can result from various factors, including surgical procedures (such as prostate surgery), neurological disorders, or the use of certain medications. Patients may experience dry orgasms, where no semen is expelled, leading to potential psychological distress and concerns regarding fertility. The condition can be diagnosed through patient history, physical examination, and sometimes additional tests such as post-ejaculatory urinalysis to confirm the presence of sperm in the urine. Retrograde ejaculation can significantly impact sexual health and relationships, necessitating a comprehensive approach to management, which may include counseling, medication adjustments, or assisted reproductive technologies for those desiring to conceive. Understanding the underlying causes and implications of retrograde ejaculation is crucial for effective treatment and support.
Detailed patient history, including surgical history and medication use; physical examination findings; and any diagnostic tests performed.
Patients presenting with infertility concerns, post-surgical complications, or complaints of dry orgasms.
Urologists should document the specific surgical procedures and any neurological evaluations performed to support the diagnosis.
Assessment of hormonal levels and potential endocrine causes of ejaculatory dysfunction.
Patients with diabetes or hormonal imbalances presenting with sexual dysfunction.
Endocrinologists should document any hormonal treatments or evaluations that may relate to the ejaculatory disorder.
When a patient presents with retrograde ejaculation post-vasectomy.
Document the procedure performed and any complications noted.
Urologists should ensure clear documentation of the patient's pre-operative and post-operative status.
Common causes include prostate surgery, diabetes, multiple sclerosis, and certain medications such as antidepressants and alpha-blockers.
Diagnosis typically involves a detailed patient history, physical examination, and may include a post-ejaculatory urinalysis to check for sperm in the urine.
Yes, retrograde ejaculation can impact fertility as sperm may not be expelled during ejaculation. However, assisted reproductive techniques can help couples conceive.
Treatment options may include medication adjustments, counseling, and assisted reproductive technologies, depending on the patient's needs and underlying causes.
