Torsion of testis
ICD-10 N44.0 is a billable code used to indicate a diagnosis of torsion of testis.
Torsion of the testis is a surgical emergency characterized by the twisting of the spermatic cord, which compromises the blood supply to the testis. This condition typically presents with sudden onset of severe unilateral scrotal pain, often accompanied by nausea and vomiting. Physical examination may reveal a high-riding, tender testis, and the absence of the cremasteric reflex. Prompt diagnosis and intervention are critical to salvage the testis and prevent complications such as necrosis. Torsion can occur in any age group but is most common in adolescents. Risk factors include a history of testicular torsion, anatomical abnormalities such as the 'bell clapper' deformity, and participation in sports. Differential diagnoses include epididymitis, trauma, and hernia. Management typically involves surgical detorsion and fixation of the testis to prevent recurrence. In cases where the testis is non-viable, orchiectomy may be necessary. Understanding the urgency and implications of this condition is vital for effective treatment and management.
Detailed clinical notes on presentation, examination findings, and surgical intervention.
Acute scrotal pain in adolescents, post-operative follow-up for testicular fixation.
Ensure documentation reflects the urgency and nature of the surgical intervention.
Comprehensive assessment notes, including pain scale, physical exam findings, and initial management steps.
Patients presenting with acute scrotal pain and nausea.
Document all differential diagnoses considered and the rationale for immediate surgical referral.
Used when surgical intervention is performed for testicular torsion.
Operative report detailing the procedure and findings.
Urologists must document the urgency and nature of the surgical intervention.
Common symptoms include sudden onset of severe scrotal pain, swelling, nausea, and vomiting. Physical examination may reveal a high-riding testis and absence of the cremasteric reflex.
Diagnosis is primarily clinical, based on the patient's history and physical examination. Imaging such as Doppler ultrasound may be used to assess blood flow to the testis.
The primary treatment is surgical intervention to untwist the spermatic cord and secure the testis to prevent recurrence. In cases of necrosis, orchiectomy may be necessary.
