Abscess of epididymis or testis
ICD-10 N45.4 is a billable code used to indicate a diagnosis of abscess of epididymis or testis.
An abscess of the epididymis or testis is a localized collection of pus that occurs within the epididymis or testicular tissue, often resulting from infection. This condition can arise from various etiologies, including sexually transmitted infections (STIs), urinary tract infections, or complications from other testicular disorders such as orchitis or trauma. Patients may present with acute scrotal pain, swelling, and tenderness, often accompanied by systemic symptoms like fever and malaise. Diagnosis typically involves a thorough clinical examination, imaging studies such as ultrasound, and laboratory tests to identify the causative organism. Treatment usually requires antibiotics and may necessitate surgical intervention for drainage of the abscess. Chronic cases can lead to complications such as infertility or chronic pain, making timely diagnosis and management crucial.
Detailed clinical notes on symptoms, imaging results, and treatment plans.
Management of acute scrotal pain, post-surgical complications, and recurrent infections.
Urologists must document the presence of any underlying conditions that may contribute to abscess formation.
Thorough history of present illness, including risk factors for STIs and previous infections.
Evaluation of abscess in the context of systemic infections or immunocompromised patients.
Infectious disease specialists should document the results of cultures and sensitivity tests.
Used when surgical intervention is required for drainage of a testicular abscess.
Document the size, location, and nature of the abscess, as well as the procedure performed.
Urologists should ensure that the surgical notes detail the findings and any complications.
Common causes include bacterial infections, particularly those associated with STIs, urinary tract infections, and complications from other testicular disorders.
