Disorders of prepuce
Chapter 14:Diseases of the genitourinary system
ICD-10 N47 is a billable code used to indicate a diagnosis of disorders of prepuce.
Disorders of the prepuce, or foreskin, encompass a range of conditions affecting the male genitalia, particularly the foreskin's structure and function. Common disorders include phimosis, where the foreskin cannot be retracted over the glans penis, and paraphimosis, where the retracted foreskin cannot be returned to its normal position. These conditions can lead to complications such as infections, inflammation, and pain. Additionally, disorders of the prepuce may be associated with other male reproductive health issues, including hydrocele, orchitis, and male infertility. Hydrocele, characterized by fluid accumulation around the testicle, can sometimes be linked to preputial disorders due to inflammation or infection. Orchitis, an inflammation of the testis, may also present alongside preputial disorders, particularly in cases of sexually transmitted infections. Male infertility can arise from various factors, including anatomical abnormalities related to the prepuce. Proper andrological management is crucial, involving accurate diagnosis, treatment options such as circumcision or topical therapies, and addressing any underlying conditions that may contribute to reproductive health issues.
Detailed clinical notes on the patient's symptoms, physical examination findings, and any imaging or laboratory results.
Patients presenting with phimosis, recurrent infections, or complications from circumcision.
Ensure clear documentation of the rationale for surgical interventions and any associated conditions.
Comprehensive assessment of male reproductive health, including fertility evaluations and hormonal assessments.
Men presenting with infertility issues potentially linked to preputial disorders.
Document any interventions aimed at improving fertility and the outcomes of such treatments.
Performed for phimosis or recurrent infections.
Document the indication for surgery and any preoperative assessments.
Urologists should ensure that all relevant clinical findings are included in the surgical report.
Phimosis is the inability to retract the foreskin over the glans penis, while paraphimosis occurs when the foreskin is retracted and cannot be returned to its normal position, potentially leading to complications.
