Penile doppler in erectile dysfunction

This poster is published under an open license. Please read the disclaimer for further details.

Congress:

ECR 2017

Poster Number:

C-1753

Type:

Educational Exhibit

Keywords:

Genital / Reproductive system male, Ultrasound-Spectral Doppler, Diagnostic procedure, Haemodynamics / Flow dynamics

Authors:

L. Ospina¹, C. A. GARCIA ², M. Renjifo¹; ¹Cali/CO, ²CALI, VA/CO

DOI:

10.1594/ecr2017/C-1753

DOI-Link:

https://dx.doi.org/10.1594/ecr2017/C-1753

Fig. 8: In the preliminary evaluation, cavernosal arteries show multiple echogenic foci...

Fig. 9: After injection velocities were below 30 cm/s at all intervals, findings...

Fig. 13: Indeterminate result, mixed arterial and venous ED. Erectile response is poor...

Learning objectives

To describe the features of structural and vasculogenic causes of erectile dysfunction

Background

Approximately 50% of the male population aged between 40 and 70 years will suffer from Erectile Dysfunction (ED) at some stage, with 10% of these affected severely. It is defined as the persistent inability to achieve or maintain penile erections of sufficient value to engage in satisfactory sexual activity. Many physical causes of EDexist, with only 10–20% of patients believed to have a solely psychological cause. There are many organic causes, with the majority of these based upon vascular insufficiency.

Findings and procedure details

Procedure details The procedure is performed in a private room, before the injectionwe take a short medical history, we explain every detail concerning the injection and the possible complications including priapism and we signed an informed consent form. The patient is positioned supine upon the examination bed, the penis must be placed in its anatomical position along the anterior abdominal wall and the injection of 20 microgram of Alprostadil with a 28 G needle is made at the dorsal margin of the base of penis....

Conclusion

Normal 0 false false false EN-US JA X-NONE Penile Doppler ultrasonography can be used to examine penile structure and vasculature allowing the examination of the cavernosal vessels in patients with suspect arterial or venous insufficiency. It also may be of use in anatomical delineation for patients with post traumatic/post-surgical abnormalities.

Personal information

References

Fitzgerald SW, Erickson SJ, Foley WD, Lipchik EO, Lawson TL. Color Doppler sonography in the evaluation of erectile dysfunction. Radiographics 1992 ;12:3-17. Patel DV, Halls J, Patel U. Investigation of erectile dysfunction. Br J Radiol. 2012;85(Spec No 1):S69–78. Connolly JA, Borirakchanyavat S, Lue TF. Ultrasound evaluation of the penis for assessment of impotence. J Clin Ultrasound 1996;4:481–6.   Golijanin D, Singer E, Davis R, Bhatt S, Seftel A, Dogra V. Doppler evaluation of erectile dysfunction. Int J Impot Res 2007;19:43–8.  Fitzgerald SW, Erickson SJ, Foley WD,...