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Corporo-venous occlusive erectile dysfunction
ICD10CM code
#### Name of the Condition
- Corporo-venous occlusive erectile dysfunction
- Also known simply as "venous leakage"
#### Summary
- Corporo-venous occlusive erectile dysfunction is a type of erectile dysfunction (ED) where the veins in the penis fail to restrict blood flow during an erection, leading to difficulties in maintaining or achieving an erection.
#### Causes
- Physical injury to the pelvic area
- Vascular diseases affecting blood flow
- Aging and tissue changes within the penile structure
#### Risk Factors
- Aging, particularly in men over the age of 40
- History of vascular diseases, like atherosclerosis
- Diabetes, which can damage blood vessels and nerves
- Sedentary lifestyle or obesity
#### Symptoms
- Inability to maintain an erection during sexual activity
- Persistent issues with achieving an erection
#### Diagnosis
- Physical examination and medical history review
- Nocturnal penile tumescence (NPT) tests to assess erections during sleep
- Doppler ultrasound to evaluate blood flow in the penis
#### Treatment Options
- Medications such as phosphodiesterase inhibitors (e.g., sildenafil) to improve blood flow
- Vacuum erection devices that increase blood flow mechanically
- Surgical options, including penile vascular surgery, to correct venous leak
- Counseling or therapy if psychological factors contribute
#### Prognosis and Follow-Up
- With appropriate treatment, many individuals can achieve satisfactory improvements.
- Regular follow-ups with a healthcare provider are important to adjust treatment plans as necessary.
#### Complications
- Persistent erectile dysfunction impacting personal and professional life
- Psychological distress, including anxiety or depression
- Strain on personal relationships
#### Lifestyle & Prevention
- Regular exercise and maintaining a healthy weight
- Limiting alcohol consumption and quitting smoking
- Managing chronic conditions like diabetes and hypertension
#### When to Seek Professional Help
- If erectile challenges persist for more than a few weeks
- If erectile dysfunction accompanies other symptoms like pain
#### Additional Resources
- American Urological Association [https://www.auanet.org/]
- Erectile Dysfunction Foundation [https://www.erectiledysfunctionfoundation.org/]
#### Tips for Medical Coders
- Ensure correct ICD-10 coding by confirming the condition as N52.02 for venous leakage-related erectile dysfunction.
- Double-check for coexisting conditions that may need additional coding.