[Color doppler echography in the exploration of vasculogenic impotence].
102 patients with suspected vasculogenic impotence were evaluated with color doppler sonography. Measurement of normal systolic and diastolic velocities were obtained from the cavernosal arteries of patients responding by a full erection after intra-cavernosal injection of 20 mg of Papaverine. A correlation with cavernosometry was obtained in 61 patients and with selective internal pudendal arteriography in 11. The 10 patients with abnormal arteriograms had a systolic velocity < 25 cm/sec. 13 out of the 15 patients with an end diastolic velocity > 5 cm/sec had a venous leak defined by a maintenance flow rate of erection during cavernosometry > 25 ml/mn. End diastolic velocity is an excellent index of the function of the veno-occlusive system, provided the systolic velocity remains at a normal value. In case of arterial insufficiency, a diastolic flow < 5 cm/sec is of no value and cavernometry is mandatory to detect a mixed arterio-venous impotence. The addition of color doppler sonography permitted a more rapid detection of vessels and an easily reproducible measurement of velocities which makes color doppler sonography an excellent screening test for examining patients with potential vasculogenic impotence.
Cornud
F
F
Collège Européen et Francophone d'Urologie Libérale (CEFUL), Franck, Paris.
Boisrond
L
L
Bonnel
D
D
Dadoun
D
D
Casanova
J M
JM
Lepage
T
T
Meuriot
N
N
Pruneau
J C
JC
Souissi
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003116:Color; D007172:Erectile Dysfunction / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000098:blood supply; D011446:Prospective Studies; D014463:Ultrasonography; D014652:Vascular Diseases / Q000150:complications
Echographie-doppler couleur dans l'exploration de l'impuissance d'origine vasculaire.