Erectile dysfunction following radical prostatectomy
ICD-10 N52.31 is a billable code used to indicate a diagnosis of erectile dysfunction following radical prostatectomy.
Erectile dysfunction (ED) following radical prostatectomy is a common complication that arises after surgical removal of the prostate gland, typically due to prostate cancer. The procedure can damage the nerves and blood vessels that are essential for achieving and maintaining an erection. The severity of ED can vary significantly among patients, influenced by factors such as age, pre-existing erectile function, and the surgical technique used. Post-operative ED may be temporary or permanent, and it can significantly impact a patient's quality of life and psychological well-being. Management options include oral phosphodiesterase type 5 inhibitors, vacuum erection devices, penile injections, and penile prosthesis implantation. It is crucial for healthcare providers to discuss potential risks of ED with patients prior to surgery and to provide appropriate follow-up care to address any arising sexual health concerns.
Detailed surgical notes, patient history, and follow-up assessments.
Post-operative follow-up visits for patients experiencing ED after prostate surgery.
Consideration of nerve-sparing techniques and their impact on erectile function.
Assessment of psychological impact and treatment plans for sexual dysfunction.
Counseling sessions addressing the emotional effects of ED on patients and their partners.
Integration of sexual health discussions into mental health treatment plans.
Used for patients with severe ED post-prostatectomy who have not responded to other treatments.
Surgical notes detailing the indication for the procedure and prior treatment attempts.
Urologists must document the patient's history of ED and treatment failures.
The primary cause is nerve damage that occurs during the surgical procedure, which can affect blood flow and nerve signaling necessary for achieving an erection.
