Extravaginal torsion of spermatic cord
ICD-10 N44.01 is a billable code used to indicate a diagnosis of extravaginal torsion of spermatic cord.
Extravaginal torsion of the spermatic cord is a surgical emergency characterized by the twisting of the spermatic cord outside the tunica vaginalis, which can lead to compromised blood flow to the testis. This condition typically presents in adolescents and young adults, often with sudden onset of severe scrotal pain, swelling, and nausea. The torsion can result in ischemia and necrosis of the testis if not promptly diagnosed and treated. Diagnosis is primarily clinical, supported by imaging studies such as Doppler ultrasound to assess blood flow. Surgical intervention is usually required to untwist the cord and restore blood supply, and in some cases, orchidopexy may be performed to prevent recurrence. Complications can include infertility, especially if the testis is not salvaged. Understanding the implications of extravaginal torsion is crucial for managing associated conditions such as hydrocele, orchitis, and male infertility, as well as for providing comprehensive andrological care.
Detailed surgical notes, imaging results, and post-operative care plans.
Acute scrotal pain, evaluation of testicular viability, management of complications.
Documentation must clearly indicate the type of torsion and any associated procedures performed.
Assessment of fertility implications, management of hydrocele or orchitis.
Evaluation of male infertility post-torsion, management of testicular pain.
Consideration of long-term fertility outcomes and counseling for patients.
Used when performing an emergency orchidopexy for torsion.
Detailed operative report including findings and procedures performed.
Urologists must document the urgency and rationale for surgical intervention.
Common symptoms include sudden onset of severe scrotal pain, swelling, nausea, and vomiting. Patients may also exhibit signs of distress and may have a high-riding testis on examination.
