[The value of corpus cavernosum sonography following administration of vasoactive substances in the diagnosis of patients with erectile impotence].
In 70 Patients with erectile dysfunction, ultrasound examination of both corpora cavernosa after intracavernous injection of papaverine was done using B-scan, Duplex scan and Doppler color. B-scan can detect morphological disease in a penis profundis, the higher degrees of cavernous muscle myopathia, and disease of the tunica albuginea. For the analysis of pulse curve and the measurement of blood-flow velocity, the Duplex scan is necessary. Doppler color imaging enables ultra sonographic examination of a dorsalis and a penis profundis and can detect intracavernous vascular pathology. The results show that ultrasonography is an important diagnostic tool in patients with erectile dysfunction. A differentiated therapeutic strategy can be based on this examination, especially when revascularization procedures are being discussed. Additionally, better follow-up of patients under self-injection therapy is possible.
Urologische Universitätsklinik, Universität des Saarlandes.
H
H
Derouet
J
J
Steffens
P
P
Scheffler
D
D
Caspari
M
M
Ziegler
D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000175:diagnosis*; D001783:Blood Flow Velocity / Q000187:drug effects; D003937:Diagnosis, Differential; D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010208:Papaverine; D010410:Penile Erection / Q000187:drug effects*; D010413:Penis / Q000098:blood supply*; D012039:Regional Blood Flow / Q000187:drug effects; D014463:Ultrasonography / Q000379:methods*
D010208:Papaverine
Stellenwert der Schwellkörpersonographie nach Gabe vasoaktiver Substanzen bei der Diagnostik von Patienten mit erektiler Dysfunktion.