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Radiation-induced lumbar plexopathy (RILP) or radiation-induced lumbosacral plexopathy (RILSP) is nerve damage in the pelvis and lower spine area caused by therapeutic radiation treatments. RILP is a rare side effect of external beam radiation therapy [ 1 ] [ 2 ] [ 3 ] and both interstitial and intracavity brachytherapy radiation implants.
Generally, diseases outlined within the ICD-10 codes S30-S39 within Chapter XIX: Injury, poisoning and certain other consequences of external causes should be included in this category. Pages in category "Injuries of abdomen, lower back, lumbar spine and pelvis"
In the lumbar spine it is commonly used to treat spinal claudication caused by spinal stenosis, and is considered the most effective treatment for this condition based on current evidence. [3] In the cervical and thoracic spine it is used to treat myelopathy caused by compression of the spinal cord itself.
Diagnosis of plexopathy relies on proper identification of a pattern in motor and sensory function deficits in the upper or lower extremities. [ 1 ] To rule out confounding conditions such as radiculopathy or myelopathy , an MRI of the cervical or lumbar spine is often obtained.
Under the proposal, the ICD-9-CM code sets would be replaced with the ICD-10-CM code sets, effective October 1, 2013. On April 17, 2012, the Department of Health and Human Services (HHS) published a proposed rule that would delay the compliance date for the ICD-10-CM and PCS by 12 months-from October 1, 2013, to October 1, 2014. [4]
The use of radiotherapy can cause a temporary bout of azoospermia, this however, is dependant solely on the nature of the dose that are delivered to the testes. Those who experience less than 100 rads will recover in 9–18 months, doses of 200-300 rads will recover in 30 months and doses of 400-600 rads will recover in less than or equal to five years.
A common form of radiculitis is sciatica – radicular pain that radiates along the sciatic nerve from the lower spine to the lower back, gluteal muscles, back of the upper thigh, calf, and foot as often secondary to nerve root irritation from a spinal disc herniation or from osteophytes in the lumbar region of the spine.
In case of proven fertility but unresolved pelvic pain, even one or both partially obstructed ejaculatory ducts may be the origin of pelvic pain and oligospermia. [ 1 ] Ejaculatory duct obstruction may result in a complete lack of semen ( aspermia ) or a very low-volume semen ( oligospermia ) which may contain only the secretion of accessory ...