Encysted hydrocele
ICD-10 N43.0 is a billable code used to indicate a diagnosis of encysted hydrocele.
Encysted hydrocele is a type of hydrocele characterized by the accumulation of serous fluid within a sac-like structure surrounding the testis. This condition typically arises from a failure of the processus vaginalis to close, leading to the formation of a cyst that can vary in size. Patients may present with a painless swelling in the scrotum, which can be transilluminated to confirm the presence of fluid. While encysted hydroceles are generally benign, they can sometimes be associated with underlying testicular disorders, such as orchitis or trauma. In some cases, they may contribute to male infertility due to pressure effects on the testis or associated conditions. Diagnosis is primarily clinical, supported by ultrasound imaging to assess the nature of the fluid and rule out other pathologies. Treatment options include observation for asymptomatic cases or surgical intervention for symptomatic patients or those desiring fertility. Proper management is crucial to prevent complications and ensure reproductive health.
Detailed history of symptoms, physical examination findings, imaging results, and treatment plans.
Evaluation of scrotal swelling, management of male infertility, and post-operative follow-up after hydrocele repair.
Ensure accurate documentation of the size and characteristics of the hydrocele, as well as any associated conditions.
Assessment of male reproductive health, including fertility evaluations and hormonal assessments.
Infertility workup in males, management of testicular pain, and counseling regarding reproductive options.
Document any impact of the hydrocele on fertility and the patient's reproductive goals.
Performed for symptomatic encysted hydrocele.
Operative report detailing the procedure and findings.
Urologists should document the size and characteristics of the hydrocele.
An encysted hydrocele is a specific type of hydrocele where fluid is contained within a sac, often due to developmental issues, while a regular hydrocele may not have this encapsulation and can be more diffuse.
