Epididymo-orchitis
ICD-10 N45.3 is a billable code used to indicate a diagnosis of epididymo-orchitis.
Epididymo-orchitis is an inflammatory condition affecting the epididymis and the testis, often resulting from infections, trauma, or autoimmune disorders. It is characterized by swelling, pain, and tenderness in the scrotum, which may also present with systemic symptoms such as fever and malaise. The condition can be caused by various pathogens, including sexually transmitted infections (STIs) like Chlamydia trachomatis and Neisseria gonorrhoeae, as well as non-STI bacteria. In some cases, viral infections, such as mumps, can also lead to orchitis. Complications may include abscess formation, testicular necrosis, and infertility, particularly if the condition is recurrent or inadequately treated. Diagnosis typically involves a combination of clinical examination, imaging studies (such as ultrasound), and laboratory tests to identify the causative organism. Management may include antibiotics, analgesics, and in some cases, surgical intervention. Understanding the interplay between epididymo-orchitis and other male reproductive health issues, such as hydrocele and male infertility, is crucial for comprehensive patient care.
Detailed clinical notes on symptoms, diagnostic tests, and treatment plans.
Acute presentation of scrotal pain, chronic epididymo-orchitis, and infertility evaluations.
Ensure clarity in distinguishing between infectious and non-infectious causes.
Comprehensive history of STIs, laboratory results, and treatment response.
Management of epididymo-orchitis due to STIs and recurrent infections.
Focus on the identification of pathogens and antibiotic sensitivity.
Used when an abscess forms due to epididymo-orchitis.
Document the need for drainage and the condition of the abscess.
Urology specialists should ensure clear documentation of the procedure and its necessity.
Common causes include bacterial infections, particularly sexually transmitted infections, as well as viral infections like mumps. Non-infectious causes can also contribute.
Epididymo-orchitis can lead to scarring and damage to the reproductive structures, potentially affecting sperm transport and quality, which may result in infertility.
