Document Detail


A sign of arteriogenic insufficiency on penile Doppler sonography: retrograde flow in penile cavernosal-spongiosal communications.
MedLine Citation:
PMID:  18029915     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to evaluate the diagnostic usefulness of determining retrograde flow in the penile cavernosal-spongiosal communications (CSCs) with Doppler sonography. METHODS: Thirty-two consecutive men with erectile dysfunction (mean age, 40 years; range, 19-61 years) underwent penile color Doppler sonography. All patients were evaluated for flow direction in the CSCs. RESULTS: Eight of the 32 patients had normal Doppler sonographic findings; 8 had signs of veno-occlusive dysfunction; and 16 had arterial insufficiency. Doppler sonographic examinations of the patients with normal Doppler sonographic findings (100%) and veno-occlusive dysfunction (100%) showed a normal direction of flow in the CSCs. Thirteen of the 16 patients with arterial insufficiency had a normal direction of flow in the CSCs; however, reversal of the flow direction in the CSCs (from the urethral artery back to the cavernosal artery) was observed in the remaining 3 patients. CONCLUSIONS: Investigating the direction of flow in the cavernosal artery, CSCs, and urethral artery is not time-consuming and may help establish an accurate diagnosis of arteriogenic impotence, especially in patients with borderline peak systolic flow velocity values.
Authors:
Ulas Savas Yavas; Cuneyt Calisir; Tamer Kaya; Nevbahar Akcar Degirmenci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  26     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-21     Completed Date:  2008-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1643-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, Medical Faculty, Eskisehir Osmangazi University, Meselik, 26480 Eskisehir, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adult
Erectile Dysfunction / etiology*,  ultrasonography*
Humans
Male
Middle Aged
Penis / blood supply*,  ultrasonography*
Reproducibility of Results
Sensitivity and Specificity
Ultrasonography, Doppler, Color / methods*
Vascular Diseases / complications*,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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