Document Detail

Colour Doppler and duplex ultrasound assessment of Peyronie's disease in impotent men.
MedLine Citation:
PMID:  8319059     Owner:  NLM     Status:  MEDLINE    
280 patients (aged 28 to 74 years, mean 57) with erectile failure (EF) underwent colour Doppler and duplex ultrasound imaging (CDI) following intracorporeal papaverine. After achieving a full, or nearly full, erection visual inspection and palpation revealed plaques and/or constriction or deformity of the penis in 55 (20%) cases. 10 (4%) were known to have Peyronie's plaques prior to referral. Of these 55 patients ultrasound showed focal echogenic plaques in 14 (25%) and diffuse thickening of the tunica albuginea in 41 (75%). CDI diagnosed arteriogenic EF in 20 (36%) of these patients, venous leak in 10 (18%), arterial and venous in two (4%) and a normal response in 23 (42%). In 11 (20%) patients (seven with arteriogenic EF and four with venous leak) the plaque was seen to be affecting vessels. These results indicate that abnormalities of the tunica albuginea are far more common in patients presenting with erectile failure than previously thought. We believe that the diffuse thickening is a form of Peyronie's which is only recognized after pharmacological induction of penile erection.
Z Amin; U Patel; E P Friedman; J A Vale; R Kirby; W R Lees
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  66     ISSN:  0007-1285     ISO Abbreviation:  Br J Radiol     Publication Date:  1993 May 
Date Detail:
Created Date:  1993-08-03     Completed Date:  1993-08-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  398-402     Citation Subset:  AIM; IM    
Department of Radiology, Middlesex Hospital, London, UK.
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MeSH Terms
Blood Flow Velocity
Erectile Dysfunction / etiology,  ultrasonography*
Middle Aged
Penile Induration / complications,  pathology,  ultrasonography*
Penis / blood supply

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