Acquired torsion of penis
ICD-10 N48.82 is a billable code used to indicate a diagnosis of acquired torsion of penis.
Acquired torsion of the penis is a rare but significant condition characterized by the twisting of the penile shaft, which can lead to compromised blood flow and potential necrosis of the penile tissue. This condition may arise due to various factors, including trauma, excessive manipulation, or anatomical abnormalities. Patients may present with acute pain, swelling, and changes in penile appearance. The condition can be associated with other urological disorders such as hydrocele, orchitis, and male infertility, as the underlying mechanisms may involve vascular compromise and inflammation. Prompt diagnosis and management are crucial to prevent long-term complications, including erectile dysfunction and penile deformity. Treatment typically involves surgical intervention to untwist the penis and restore normal blood flow, along with addressing any underlying conditions that may contribute to the torsion. Post-operative care and follow-up are essential to monitor for complications and ensure optimal recovery.
Detailed clinical notes including patient history, physical examination findings, and surgical reports.
Acute presentation of penile pain, swelling, and torsion; management of associated conditions like hydrocele.
Urologists must ensure accurate coding of both the torsion and any associated conditions to reflect the complexity of the case.
Comprehensive assessment of male reproductive health, including fertility evaluations.
Evaluation of male infertility potentially linked to torsion or other penile disorders.
Andrologists should document any impact on fertility and related treatments to support coding.
Used in cases of acute acquired torsion requiring surgical intervention.
Surgical notes must detail the procedure performed and any findings.
Urologists should ensure that the surgical approach is clearly documented to support coding.
Common causes include trauma, excessive manipulation during sexual activity, and anatomical abnormalities that predispose the penis to twisting.
Diagnosis is primarily clinical, based on the patient's history and physical examination findings. Imaging may be used in complex cases.
Untreated acquired torsion can lead to ischemia, necrosis of penile tissue, erectile dysfunction, and penile deformity.
