ICD-10: S39.840

The ICD-10 code S39.840 refers specifically to a fracture of the corpus cavernosum of the penis. This injury is categorized under the broader classification of injuries to the pelvic region and the perineum. Below is a detailed overview of this condition, including its clinical description, potential causes, symptoms, diagnosis, and treatment options.

Clinical Description

A fracture of the corpus cavernosum penis is a rare but serious injury that typically occurs when there is a traumatic event affecting the penis. The corpus cavernosum is one of the two erectile tissues in the penis, and it plays a crucial role in achieving and maintaining an erection. When this tissue is subjected to excessive force, it can rupture, leading to significant complications.

Mechanism of Injury

The most common causes of a corpus cavernosum fracture include:
- Trauma during sexual intercourse: This can occur due to vigorous movements or an awkward position.
- Direct blunt trauma: Accidents, falls, or sports injuries can also lead to this type of fracture.
- Penile manipulation: Certain medical procedures or excessive manual manipulation can result in injury.

Symptoms

Patients with a fracture of the corpus cavernosum may experience a range of symptoms, including:
- Sudden pain: Often described as sharp or severe, occurring at the moment of injury.
- Swelling and bruising: The area may become swollen and discolored due to internal bleeding.
- Deformity: There may be a noticeable change in the shape of the penis.
- Loss of erection: The ability to achieve or maintain an erection may be compromised.
- Hematuria: Blood in the urine may occur if there is associated injury to the urethra.

Diagnosis

Diagnosis of a corpus cavernosum fracture typically involves:
- Clinical examination: A healthcare provider will assess the symptoms and perform a physical examination.
- Imaging studies: Ultrasound or MRI may be utilized to confirm the diagnosis and assess the extent of the injury.

Treatment

Treatment for a fracture of the corpus cavernosum may vary based on the severity of the injury:
- Conservative management: In cases where the fracture is not severe, rest, ice, and pain management may be sufficient.
- Surgical intervention: More severe cases often require surgical repair to restore normal function and prevent complications such as erectile dysfunction or penile curvature.

Complications

If left untreated, a fracture of the corpus cavernosum can lead to:
- Erectile dysfunction: Damage to the erectile tissue can impair future sexual function.
- Penile curvature: Scar tissue formation may result in a permanent change in the shape of the penis.
- Psychological impact: The injury can also have emotional and psychological effects on the patient.

Conclusion

ICD-10 code S39.840 is essential for accurately documenting and billing for cases of corpus cavernosum fracture. Understanding the clinical implications, symptoms, and treatment options is crucial for healthcare providers managing such injuries. Prompt diagnosis and appropriate management are key to minimizing complications and ensuring optimal recovery for affected individuals.

The ICD-10 code S39.840 refers to a fracture of the corpus cavernosum of the penis, a rare but significant injury that can occur due to trauma. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for effective diagnosis and management.

Clinical Presentation

Fractures of the corpus cavernosum penis typically occur during sexual intercourse or as a result of blunt trauma to the genital area. The injury is characterized by the rupture of the fibrous sheath surrounding the erectile tissue, leading to a variety of clinical manifestations.

Signs and Symptoms

1. Pain:
   - Patients often report sudden and severe pain in the penile region at the time of injury. This pain can be sharp and may radiate to the lower abdomen or perineum.

2. Swelling and Bruising:
   - Swelling of the penis is common, often accompanied by bruising. The bruising may extend to the surrounding areas, including the scrotum and perineum, due to the accumulation of blood.

3. Deformity:
   - A noticeable deformity may occur, with the penis appearing bent or curved. This is due to the loss of structural integrity in the erectile tissue.

4. Erectile Dysfunction:
   - Following the injury, patients may experience difficulty achieving or maintaining an erection, which can be temporary or, in some cases, permanent.

5. Hematuria:
   - Blood in the urine may occur if the injury is associated with damage to the urethra or surrounding structures.

6. Loss of Sensation:
   - Some patients may report altered sensation in the penis, which can be a result of nerve involvement during the injury.

Patient Characteristics

• Demographics:

• Fractures of the corpus cavernosum are more commonly reported in younger males, typically between the ages of 20 and 40, who are more likely to engage in vigorous sexual activity or high-risk behaviors.

• Risk Factors:

• High-risk sexual practices, such as aggressive intercourse or the use of sexual devices, can increase the likelihood of sustaining this type of injury. Additionally, individuals with connective tissue disorders may be at higher risk due to compromised structural integrity of the tissues involved[3].

• Medical History:

• A thorough medical history is essential, as previous penile trauma, surgeries, or conditions like Peyronie's disease may influence the presentation and management of the fracture[9].

Conclusion

Fractures of the corpus cavernosum penis, coded as S39.840 in the ICD-10 classification, present with acute pain, swelling, deformity, and potential erectile dysfunction. Understanding the signs and symptoms, along with patient characteristics, is vital for healthcare providers to ensure timely diagnosis and appropriate treatment. If a fracture is suspected, immediate medical evaluation is necessary to prevent complications and optimize recovery.

The ICD-10 code S39.840 specifically refers to a fracture of the corpus cavernosum of the penis. This condition, while relatively rare, can occur due to trauma or injury. Understanding alternative names and related terms can be beneficial for medical professionals, researchers, and students in the field of urology and sexual health.

Alternative Names

1. Penile Fracture: This is the most common term used to describe the injury, as it encompasses any fracture involving the penile structures, including the corpus cavernosum.
2. Corporal Rupture: This term refers to the rupture of the erectile tissue, which is primarily composed of the corpus cavernosum.
3. Traumatic Penile Injury: A broader term that includes fractures as well as other types of injuries to the penis.
4. Erectile Tissue Fracture: This term highlights the specific tissue involved in the injury, focusing on the erectile function of the penis.

Related Terms

1. ICD-10-CM Code: The Clinical Modification of the ICD-10 code for this injury is also S39.840, which is used for billing and coding purposes in the United States.
2. ICD-10-AM Code: In the Australian Modification, the code may have similar designations but could vary slightly in format or additional descriptors.
3. Urological Trauma: This term encompasses all types of injuries to the urinary and reproductive systems, including fractures of the penis.
4. Penile Trauma: A general term that includes any injury to the penis, whether it be a fracture, laceration, or contusion.
5. Corporal Injury: This term can refer to any damage to the corpora cavernosa, which includes fractures as well as other forms of trauma.

Conclusion

Understanding the alternative names and related terms for the ICD-10 code S39.840 is essential for accurate diagnosis, treatment, and documentation of penile fractures. These terms not only facilitate communication among healthcare providers but also enhance the clarity of medical records and billing processes. If you have further questions or need more specific information regarding this condition, feel free to ask!

Fractures of the corpus cavernosum penis, classified under ICD-10 code S39.840, are relatively rare but can result from trauma, often during vigorous sexual activity or accidents. Understanding the standard treatment approaches for this condition is crucial for effective management and recovery.

Overview of Corpus Cavernosum Fracture

The corpus cavernosum consists of two cylindrical structures that run along the length of the penis and are responsible for erections. A fracture in this area typically involves a rupture of the tunica albuginea, the fibrous envelope surrounding the corpus cavernosum, leading to bleeding and swelling. Symptoms may include sudden pain, swelling, bruising, and a noticeable deformity of the penis.

Initial Assessment and Diagnosis

Before treatment, a thorough assessment is necessary. This includes:

• Clinical Examination: A physical examination to assess the extent of the injury, including any signs of deformity or swelling.
• Imaging Studies: Ultrasound or MRI may be utilized to confirm the diagnosis and evaluate the extent of the injury, particularly if there is suspicion of associated injuries to the urethra or other structures[1].

Standard Treatment Approaches

Conservative Management

In cases where the fracture is not severe and there are no complications, conservative management may be appropriate. This includes:

• Rest and Ice Application: Patients are advised to rest and apply ice to reduce swelling and pain.
• Pain Management: Analgesics such as NSAIDs (non-steroidal anti-inflammatory drugs) can be prescribed to manage pain and inflammation.
• Observation: Close monitoring for any changes in symptoms or complications is essential.

Surgical Intervention

Surgical treatment is often indicated in more severe cases or when there are complications such as:

• Significant Deformity: If the fracture leads to a noticeable curvature or deformity of the penis.
• Urethral Injury: If there is a concurrent injury to the urethra, surgical repair is necessary to prevent long-term complications such as erectile dysfunction or urinary issues.

Surgical Techniques

• Repair of the Tunica Albuginea: This involves suturing the torn tunica albuginea to restore the integrity of the corpus cavernosum.
• Urethral Repair: If the urethra is involved, a separate repair may be performed to ensure proper urinary function.

Postoperative Care

Following surgical intervention, patients typically undergo a period of recovery that includes:

• Follow-Up Appointments: Regular follow-ups to monitor healing and address any complications.
• Gradual Return to Activity: Patients are usually advised to avoid sexual activity and strenuous exercise for a specified period, often several weeks, to allow for proper healing.

Conclusion

The management of a fracture of the corpus cavernosum penis (ICD-10 code S39.840) requires a careful assessment to determine the appropriate treatment approach. While conservative management may suffice in mild cases, surgical intervention is often necessary for more severe injuries or complications. Early diagnosis and treatment are crucial to minimize the risk of long-term complications, including erectile dysfunction and penile deformity. As always, patients should consult with a healthcare professional for personalized advice and treatment options tailored to their specific condition[2][3].

The ICD-10 code S39.840 refers specifically to a fracture of the corpus cavernosum of the penis, a condition that typically arises from trauma. Understanding the criteria for diagnosing this condition is crucial for accurate coding and treatment. Below, we explore the diagnostic criteria and considerations associated with this injury.

Diagnostic Criteria for Fracture of Corpus Cavernosum Penis

1. Clinical Presentation

• History of Trauma: The diagnosis often begins with a detailed patient history that indicates a recent traumatic event, such as vigorous sexual activity, blunt trauma, or an accident that could lead to penile injury.
• Symptoms: Patients may present with acute pain, swelling, and bruising in the penile area. A characteristic "popping" sound may be reported at the time of injury, which is often associated with the rupture of the tunica albuginea surrounding the corpus cavernosum.

2. Physical Examination

• Inspection: A thorough physical examination is essential. The physician will look for signs of swelling, deformity, or discoloration of the penis.
• Palpation: Gentle palpation may reveal tenderness or a palpable defect in the shaft of the penis, indicating a fracture.

3. Imaging Studies

• Ultrasound: A penile Doppler ultrasound can be utilized to assess blood flow and identify any hematomas or ruptures in the corpus cavernosum.
• MRI or CT Scan: In some cases, advanced imaging techniques like MRI or CT scans may be employed to provide a more detailed view of the injury, especially if surgical intervention is being considered.

4. Differential Diagnosis

• It is important to differentiate a fracture of the corpus cavernosum from other conditions such as penile contusions, lacerations, or fractures of the penile shaft. This may involve ruling out other injuries through imaging and clinical assessment.

5. Associated Injuries

• The presence of associated injuries, such as urethral injury or fractures of the pelvic bones, should also be evaluated, as they can complicate the clinical picture and management of the patient.

Conclusion

Diagnosing a fracture of the corpus cavernosum penis (ICD-10 code S39.840) involves a combination of patient history, clinical examination, and imaging studies. Prompt recognition and accurate diagnosis are essential for effective management and to prevent complications such as erectile dysfunction or penile deformity. If you suspect a fracture, it is crucial to seek medical attention immediately to ensure appropriate care and treatment.