Paraphimosis
ICD-10 N47.2 is a billable code used to indicate a diagnosis of paraphimosis.
Paraphimosis is a urological emergency characterized by the inability to return the retracted foreskin of the penis to its normal position over the glans. This condition can occur in males of any age but is particularly common in uncircumcised children and older adults with phimosis. The retraction of the foreskin can lead to venous congestion and edema of the glans, resulting in pain and potential ischemia if not promptly treated. The condition may arise from improper handling during hygiene practices, medical examinations, or catheterization. Symptoms include swelling, pain, and discoloration of the glans. If left untreated, paraphimosis can lead to serious complications such as necrosis of the glans, requiring surgical intervention. Management typically involves manual reduction of the foreskin, and in severe cases, surgical options may be necessary. Understanding the underlying causes and associated conditions, such as phimosis or trauma, is crucial for effective treatment and prevention.
Detailed clinical notes on the presentation, treatment, and follow-up care.
Management of acute paraphimosis in emergency settings, post-operative care following circumcision.
Ensure accurate documentation of the reduction technique used and any complications encountered.
Thorough history and physical examination notes, including any prior episodes of phimosis.
Evaluation of paraphimosis in uncircumcised children, education on proper hygiene.
Consider the developmental stage of the child and parental education on foreskin care.
Often performed if paraphimosis is recurrent or severe.
Document the indication for surgery and any complications.
Urologists should ensure that the procedure is justified based on the patient's history.
The primary treatment for paraphimosis is manual reduction of the foreskin. If this is unsuccessful, surgical intervention may be required.
