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Diagnostic Approach in Impotence and Imaging Modalities

Year 2015, Volume: 40 Issue: 2, 208 - 211, 10.09.2015
https://doi.org/10.17826/cutf.38464

Abstract

Penile erection results from a complex interplay between central nerveus system and local factors. Several aspects of these interactions have been the subject of many reviews. Nocturnal penile tumescence (NPT) monitoring is the best single non-invasive examination to differentiate organic from psychogenic impotence. Angiography and pharmacocevernosometry are accepted as gold standard modalities in the assesment of vasculojenic impotence. Recently color Doppler sonography made the detection of vessels easier and the correction of the Doppler angle more accurate, resulting in more rapid and accurate acquisition of data

References

  • Davis SS, Viosca SP, Guralnik M, et al: Evaluation of impotence in older men. Clin Invest. 1985;142:499- 505
  • Vickers MA, Benson CB, Richie JP: High Resolution Ultrasonography and Pulsed Wave Doppler for Detection of Corporovenous Impotence in Erectile Dysfunction. J Urol. 1990;143:1125-27
  • Kessler WD: Nocturnal penile tumescence, Urol CL of North Am. 1988;15:81.
  • Miner M, Rosenberg MT, Barkin J. Erectile dysfunction cardiometabolic risk evaluation and stratification for future cardiovascular events. Can J Urol. 2014;21:25- 38.
  • Crespo E: Treatment of vasculogenic sexual impotence by revascularing of cavernuus and dorsal arteries using microvascular tecnques. Urology. 1980;20:271.
  • Awad H, El-Karaksy A, Mostafa T, Abbas M, Kamel II, Arafa M, Zeidan A. Repeated intracorporeal self- injection: effect on peak systolic velocity and cavernosal artery diameter. Int J Impot Res. 2007;19:505-8.
  • Benson CB, Vickers MA: Sexual impotence Caused by vascular disease:Diagnosis with Duplex Sonography. AJR 1989;153:1149-53.
  • Mellinger BC, Vaughan ED, Thomson SL, Goldstein M: Correlation between intracavernous papaverine injection and Doppler analysis in impotent men. Urology. 1987;30:416-9.
  • Sidi AA: Vasoactive intracavernous Pharmacotherapy. Urol Clin North Am. 1988;15:95- 101.
  • Hattery RR, King BF, Lewis RW, James EM, McKusigh MA: Vasculogenic impotence: Duplex and Color Doppler Imaging. Radiol Clin North Am. 1991;29(3):629-45.
  • Schwartz AN, Wang KY, Mack LA, Lowe M, Berger RE, Cyr DR, Feldman M: Evaluation of Normal Erectile Function with Color Flow Doppler Sonography. AJR. 1989;153:1155-60.
  • Wespes E. Smooth muscle pathology and erectile dysfunction. Int J Impot Res. 2002;14:17-21.
  • Pausther DM: Role of Duplex Sonography in the Evaluation of sexual impotence. AJR. 1989;153:1161-3.
  • Lue TF: Male sexual dysfunction, In: Smith' Urology, 12.ed, by lange medical book. California, 1988
  • Raifier J, Canan V, Dorey FJ, Mehringer CM: Correlation between penile Angiography and Duplex Scanning of Cavernous Arteries in impotant Men. J Urol. 1990;143:1128-30.
  • Quam JP, King BF, James EM, Lewis RW, Brakke DM, Istrup DM, Parulkar BG, Hattery RR. Duplex and color Doppler Evaluation of vasculojenic Impotence. AJR. 1989;153:1141-47.
  • Mellinger BC, Vaughan ED. Penile Blood Flow Changes in the Flaccid and Erect State in potent Young Men Measured by duplex Scanning. J Urol. 1990;144:894-6.
  • Mellinger BC, Fried JJ., Vaughan ED. Papaverine Induced Penile Blood Flow Acceleration in Impotant Men Measured by Duplex Scanning. J Urol. 1990;144:897-9.
  • Port H, Altwein JE, Bach D, Than W: Dynamic cavernosography; venous outflow studies of cavernous bodies. J Urol. 1985;134:276.
  • Zorgniotti AW, Leufleur RS. Autoinjection of the corpus cavernosum with a vasoactive drug combination for vasculogenic impotance. J Urol. 1985;133:39.

Empotansta Tanısal Yaklaşım ve Görüntüleme Yöntemleri

Year 2015, Volume: 40 Issue: 2, 208 - 211, 10.09.2015
https://doi.org/10.17826/cutf.38464

Abstract

Penil ereksiyon bir çok klinik araştırmaya konu olacak kadar geniş ve kompleks nörovasküler bir olaydır. Psikojenikorganik impotans ayrımında noktürnal penis tümesansı (NPT), vaskülojenik impotans tanısında anjiografi ve farmakokavernozometri altın standart olarak bilinen yöntemlerdir. Son zamanlarda renkli Doppler sonografi ile küçük damarların görüntülenmesi kolaylaşmış ve Doppler açısının düzeltilmesi ile daha hızlı ve kesin veri elde edilebilmesi mümkün olmuştu

References

  • Davis SS, Viosca SP, Guralnik M, et al: Evaluation of impotence in older men. Clin Invest. 1985;142:499- 505
  • Vickers MA, Benson CB, Richie JP: High Resolution Ultrasonography and Pulsed Wave Doppler for Detection of Corporovenous Impotence in Erectile Dysfunction. J Urol. 1990;143:1125-27
  • Kessler WD: Nocturnal penile tumescence, Urol CL of North Am. 1988;15:81.
  • Miner M, Rosenberg MT, Barkin J. Erectile dysfunction cardiometabolic risk evaluation and stratification for future cardiovascular events. Can J Urol. 2014;21:25- 38.
  • Crespo E: Treatment of vasculogenic sexual impotence by revascularing of cavernuus and dorsal arteries using microvascular tecnques. Urology. 1980;20:271.
  • Awad H, El-Karaksy A, Mostafa T, Abbas M, Kamel II, Arafa M, Zeidan A. Repeated intracorporeal self- injection: effect on peak systolic velocity and cavernosal artery diameter. Int J Impot Res. 2007;19:505-8.
  • Benson CB, Vickers MA: Sexual impotence Caused by vascular disease:Diagnosis with Duplex Sonography. AJR 1989;153:1149-53.
  • Mellinger BC, Vaughan ED, Thomson SL, Goldstein M: Correlation between intracavernous papaverine injection and Doppler analysis in impotent men. Urology. 1987;30:416-9.
  • Sidi AA: Vasoactive intracavernous Pharmacotherapy. Urol Clin North Am. 1988;15:95- 101.
  • Hattery RR, King BF, Lewis RW, James EM, McKusigh MA: Vasculogenic impotence: Duplex and Color Doppler Imaging. Radiol Clin North Am. 1991;29(3):629-45.
  • Schwartz AN, Wang KY, Mack LA, Lowe M, Berger RE, Cyr DR, Feldman M: Evaluation of Normal Erectile Function with Color Flow Doppler Sonography. AJR. 1989;153:1155-60.
  • Wespes E. Smooth muscle pathology and erectile dysfunction. Int J Impot Res. 2002;14:17-21.
  • Pausther DM: Role of Duplex Sonography in the Evaluation of sexual impotence. AJR. 1989;153:1161-3.
  • Lue TF: Male sexual dysfunction, In: Smith' Urology, 12.ed, by lange medical book. California, 1988
  • Raifier J, Canan V, Dorey FJ, Mehringer CM: Correlation between penile Angiography and Duplex Scanning of Cavernous Arteries in impotant Men. J Urol. 1990;143:1128-30.
  • Quam JP, King BF, James EM, Lewis RW, Brakke DM, Istrup DM, Parulkar BG, Hattery RR. Duplex and color Doppler Evaluation of vasculojenic Impotence. AJR. 1989;153:1141-47.
  • Mellinger BC, Vaughan ED. Penile Blood Flow Changes in the Flaccid and Erect State in potent Young Men Measured by duplex Scanning. J Urol. 1990;144:894-6.
  • Mellinger BC, Fried JJ., Vaughan ED. Papaverine Induced Penile Blood Flow Acceleration in Impotant Men Measured by Duplex Scanning. J Urol. 1990;144:897-9.
  • Port H, Altwein JE, Bach D, Than W: Dynamic cavernosography; venous outflow studies of cavernous bodies. J Urol. 1985;134:276.
  • Zorgniotti AW, Leufleur RS. Autoinjection of the corpus cavernosum with a vasoactive drug combination for vasculogenic impotance. J Urol. 1985;133:39.
There are 20 citations in total.

Details

Primary Language English
Journal Section Review
Authors

Medih Çeliktaş This is me

Publication Date September 10, 2015
Published in Issue Year 2015 Volume: 40 Issue: 2

Cite

MLA Çeliktaş, Medih. “Diagnostic Approach in Impotence and Imaging Modalities”. Cukurova Medical Journal, vol. 40, no. 2, 2015, pp. 208-11, doi:10.17826/cutf.38464.