S39.840S Fracture of corpus cavernosum penis, sequela

ICD10CM code

#### Name of the Condition
- Fracture of Corpus Cavernosum Penis, Sequela

#### Summary
- A sequela refers to a condition that arises as a consequence of a previous injury or condition. In this context, it involves complications or ongoing issues stemming from a previously sustained fracture of the corpus cavernosum, a region within the penis essential for erectile function.

#### Causes
- The initial fracture often results from trauma to an erect penis during sexual intercourse, a fall, or other injury. The sequela may involve scar tissue formation, curvature, pain, or erectile dysfunction as a result of improper healing.

#### Risk Factors
- Engaging in sexual activity with vigorous or awkward positions, history of penile trauma, and certain medical conditions affecting tissue healing can increase the risk of complications following an initial fracture.

#### Symptoms
- Persistent pain, erectile dysfunction, difficulty achieving or maintaining an erection, abnormal penile curvature (Peyronie's disease), and psychological distress.

#### Diagnosis
- Physical examination and patient history review, possibly confirmed with imaging tests such as an ultrasound or MRI to assess for scar tissue, curvature, and blood flow issues.

#### Treatment Options
- Depending on symptoms, treatments may include medications like phosphodiesterase type 5 inhibitors for erectile dysfunction, surgical correction of curvature or scar tissue, and counseling to address psychological impacts. 

#### Prognosis and Follow-Up
- The prognosis varies; some individuals experience full recovery with appropriate treatment, while others may have persistent symptoms. Regular follow-ups with a urologist are crucial to monitor and manage any developing issues promptly.

#### Complications
- If not treated properly, the condition can lead to severe erectile dysfunction, significant penile curvature, chronic pain, and impact on the patient's mental health and relationships.

#### Lifestyle & Prevention
- Practice safe and mindful sexual techniques to reduce the likelihood of injury. If an injury occurs, seek immediate medical attention to minimize long-term complications. Following a balanced diet and regular exercise may promote overall tissue health.

#### When to Seek Professional Help
- Immediate medical evaluation is crucial if experiencing penile pain, a popping sound during an erection, or blood at the urinary opening after suspected trauma.

#### Additional Resources
- [Urology Care Foundation](https://www.urologyhealth.org/)
- [American Urological Association](https://www.auanet.org/)
- Support groups for Peyronie's Disease or men’s sexual health.

#### Tips for Medical Coders
- Ensure the "S" at the end of the ICD code is included to specify that this relates to a sequela of the original injury.
- Verify that the patient's history supports coding this condition as a sequela rather than an initial injury.

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