Expose CT Cavernosography technique and its diagnostic possibilities in vasculogenic erectile disfunction due to venous leakage

Erectile dysfunction has a multifactorial etiology (age, diabetes, depression, hypertension, smoke, dyslipidemia, cardiovascular and neurologic diseases). Normal erectile function depends on adequate arterial inflow as well as venous outflow occlusion: penile rigidity depends on the correct balance between maximizing inflow of blood to corpora cavernosa while minimizing its outflow. Relaxation of penile arterial tone causes blood to flow into the sinusoids of corpora cavernosa and it allows to exert pressure on penile veins against and within the tunica albuginea that mediates venous occlusion, resulting in...

Exclude patients with erectile dysfunction due to other causes (neurological, psychological, arterial insufficiency, traumatic,toxic, metabolic) After local sterilization, a 21G needle-cannula is inserted into the dorsal side of one corporus cavernosum and 20 mg of prostaglandin E1 are administered. Erection degree is assessed using EHS score(erection hardness score). Once the penis is fully erected (grades 3-4), another 21G needle-cannula is inserted into controlateral corpus cavernosum, in which are then administrated 25-60 cc of contrast medium diluted (1/2) using Iomeprol and isotonic physiological solution, at an...

CT Cavernosography is a new diagnostic tool, effective and reliable,in venogenic erectile dysfunction evaluation It provides high-resolution images of venous drainage from any anatomical angle, thanks to the possibility to getmultiplanar reconstructions, with the advantage to identify, moreover, any other morphologic anomalies such as fibrosisor calcifications It is very helpful to establish the better therapeutic strategy and decide the eventual surgical indication,considering that the outcome depends strictly on a correct anatomical study and a detailed definition of venous leakage origin sites

A. Borzelli; Naples/IT - nothing to disclose M. Di Serafino; Naples/IT - nothing to disclose F. Iacobellis; Naples/IT - nothing to disclose M. L. Schillirò; Naples/IT - nothing to disclose U. Dello Iacono; Naples/IT - nothing to disclose L. Romano; Naples/IT - nothing to disclose C. Acampora; Napoli (NA)/IT - nothing to disclose A. Raucci; Naples, IT/IT - nothing to disclose

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