[Comparison of papaverine-induced Doppler sonography and angiography in the diagnosis of erectile dysfunction].
In the course of the evaluation of 500 patients with erectile dysfunction the results of penile Doppler-sonography and penile angiography could be compared in 65 patients, in whom both investigations were carried out under standardized conditions. Criteria for the evaluation of penile Doppler-sonography were the wave form analysis and especially the increase of blood-flow in the investigated arteries after intracavernous injection of papaverine. Criteria for the evaluation of the angiograms were the depiction of the penile arteries as well as the evidence of obstruction and collaterals of the internal iliac and pudendal arteries. In regard to the dorsal penile artery an all over correlation of 96.1% and in regard to the deep penile artery of 92.3% could be found. Based on these findings the conclusion can be drawn that papaverine-induced Doppler-sonography is able to replace penile angiography, thus no longer serving as the golden standard in the diagnosis of arterial insufficiency.
Porst
H
H
Urologische Universitätsklinik Bonn.
van Ahlen
H
H
Köster
O
O
Schlolaut
K H
KH
D000792:Angiography; D001783:Blood Flow Velocity / Q000187:drug effects; D003097:Collateral Circulation / Q000187:drug effects; D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D008297:Male; D010208:Papaverine; D010410:Penile Erection / Q000187:drug effects; D010413:Penis / Q000098:blood supply*; D012039:Regional Blood Flow / Q000187:drug effects; D014463:Ultrasonography
D010208:Papaverine
Vergleich von Papaverin-induzierter Doppler-Sonographie und Angiographie in der Diagnostik der erektilen Dysfunktion.