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Phimosis
ICD10CM code
Phimosis (ICD-10: N47.1)
Name of the Condition
- Common Name: Phimosis
- Medical Term: Phimosis
Summary
Phimosis is a medical condition where the foreskin of the penis cannot be fully retracted over the glans. This condition is common in children and often resolves naturally but can persist into adulthood, potentially requiring medical intervention.
Causes
- Natural in infancy and early childhood.
- Chronic infections or inflammation, such as balanitis.
- Scarring due to repeated infections or trauma.
- Poor hygiene practices.
Risk Factors
- Being uncircumcised.
- History of recurrent urinary tract infections.
- Conditions such as diabetes that can predispose individuals to infections.
- Poor personal hygiene.
Symptoms
- Inability to retract the foreskin.
- Swelling or redness of the foreskin.
- Pain during urination.
- Recurrent infections of the foreskin or glans.
Diagnosis
- Physical examination by a healthcare professional.
- Review of medical history and symptoms.
- Occasionally, urine or blood tests if an infection is suspected.
Treatment Options
- Topical corticosteroid creams to reduce inflammation and encourage foreskin retraction.
- Stretching exercises under medical guidance.
- Circumcision, a surgical procedure to remove the foreskin, typically considered if conservative treatments fail.
- Preputioplasty, a less invasive surgical procedure, may also be considered.
Prognosis and Follow-Up
- Many cases resolve naturally, especially in children.
- Regular follow-up is crucial for monitoring and preventing complications.
- Surgical interventions generally have good outcomes with proper post-operative care.
Complications
- Pain or discomfort during urination or sexual activity.
- Increased risk of urinary tract infections.
- Paraphimosis, a condition where the retracted foreskin cannot return to its normal position, requiring emergency treatment.
Lifestyle & Prevention
- Maintain good personal hygiene.
- Regularly clean under the foreskin if retractable.
- Early medical consultation if infections occur.
- Monitor for signs of complications, especially in children.
When to Seek Professional Help
- Persistent inability to retract the foreskin in adolescence or adulthood.
- Signs of infection such as redness, swelling, or discharge.
- Painful urination or difficulty urinating.
- Any new or worsening symptoms.
Additional Resources
Tips for Medical Coders
- Verify the age of the patient as treatment and expectations differ between children and adults.
- Distinguish between Phimosis (N47.1) and similar conditions such as Paraphimosis (N47.2).
- Ensure any underlying causes or related conditions are documented if present (e.g., balanitis).