Intravaginal torsion of spermatic cord
ICD-10 N44.02 is a billable code used to indicate a diagnosis of intravaginal torsion of spermatic cord.
Intravaginal torsion of the spermatic cord is a surgical emergency characterized by the twisting of the spermatic cord within the tunica vaginalis, leading to compromised blood flow to the testis. This condition typically presents with acute onset of severe scrotal pain, often accompanied by nausea and vomiting. The affected testis may appear elevated and may be in an abnormal position. Diagnosis is primarily clinical, supported by imaging studies such as Doppler ultrasound to assess blood flow. If not promptly addressed, intravaginal torsion can lead to testicular necrosis and infertility. Management usually involves surgical intervention to untwist the cord and secure the testis to prevent recurrence. This condition is distinct from other testicular disorders such as hydrocele, orchitis, and male infertility, which may have overlapping symptoms but require different management strategies.
Detailed clinical notes on symptoms, imaging results, and surgical findings.
Acute scrotal pain in young males, differential diagnosis of testicular torsion.
Ensure documentation reflects urgency and rationale for surgical intervention.
Thorough assessment notes, including pain scale and physical exam findings.
Patients presenting with acute scrotal pain and nausea.
Document all interventions and referrals to urology for accurate coding.
Used when surgical intervention is required for torsion.
Document the findings during exploration and any corrective procedures performed.
Urology specialists should ensure detailed operative notes are provided.
Common symptoms include sudden onset of severe scrotal pain, swelling, and sometimes nausea or vomiting. The affected testis may appear elevated or in an abnormal position.
Diagnosis is primarily clinical, supported by imaging studies such as Doppler ultrasound to assess blood flow to the testis.
The definitive treatment is surgical intervention to untwist the spermatic cord and secure the testis to prevent recurrence.
