Erectile dysfunction following simple prostatectomy
ICD-10 N52.34 is a billable code used to indicate a diagnosis of erectile dysfunction following simple prostatectomy.
Erectile dysfunction (ED) following simple prostatectomy is a common complication that can significantly impact a patient's quality of life. Simple prostatectomy is a surgical procedure performed to remove part or all of the prostate gland, typically to treat benign prostatic hyperplasia (BPH) or prostate cancer. The surgery can lead to nerve damage, reduced blood flow, and hormonal changes, all of which can contribute to the development of ED. Patients may experience varying degrees of erectile dysfunction, from mild difficulties to complete inability to achieve or maintain an erection. The onset of ED can occur immediately after surgery or may develop gradually over time. Management of post-prostatectomy ED may include pharmacological treatments, vacuum erection devices, penile injections, or surgical options such as penile implants. It is essential for healthcare providers to address this issue sensitively, as it can affect the patient's mental health and interpersonal relationships. Comprehensive follow-up care and open communication about sexual health are crucial for improving outcomes and patient satisfaction.
Detailed surgical notes, patient history, and follow-up assessments.
Patients presenting with ED post-prostatectomy, management of complications, and discussions about sexual health.
Urologists should ensure thorough documentation of the surgical technique used and any nerve-sparing approaches taken.
Assessment of the psychological impact of ED, including mental health evaluations.
Patients experiencing anxiety or depression related to sexual dysfunction.
Psychiatrists should document the interplay between psychological factors and physical health in managing ED.
Used for patients with severe ED post-prostatectomy who do not respond to other treatments.
Surgical notes detailing the procedure and indications for implantation.
Urologists should document the patient's history of ED and previous treatments attempted.
The primary cause is nerve damage that occurs during the surgical procedure, which can affect blood flow and hormonal balance necessary for achieving an erection.