[MRI of penis and pelvic floor in examination of erectile dysfunction pathogenesis in patients after perineal blunt injury and choice of treatment policy].
Since 1995 we have treated 18 patients (age 17-52 years) after blunt perineal injury. 14 of them suffered from erectile dysfunction (ED). All the patients underwent examination which consisted of the standard tests and modern techniques: pharmacological dopplerography, electromyography of the penis with pharmacological loading, NMR-tomography of the perineum and the penis. NMR-tomography helped in identification of anatomic structures of the penis and pelvic fundus, pathological tissue processes (hematomas, damaged tissues, fibrous scars) after blunt injury of the perineum responsible for ED. The latter resulted from arterial (100%), venous (33.3%) and neurogenic (11.1%) lesions. Basing on the formulated pathogenetic conception it was possible to design diagnostic algorithm and policy of combined treatment of patients with ED following perineal blunt injury allowing for the time of the trauma and characteristics of the injury.
Mazo
E B
EB
Dmitriev
D G
DG
Gamidov
S I
SI
Shariia
M A
MA
D000293:Adolescent; D000328:Adult; D003657:Decision Making; D003937:Diagnosis, Differential; D007172:Erectile Dysfunction / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D017773:Pelvic Floor / Q000293:injuries / Q000473:pathology* / Q000601:surgery; D010413:Penis / Q000293:injuries / Q000473:pathology* / Q000601:surgery; D010502:Perineum / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D015203:Reproducibility of Results; D012189:Retrospective Studies; D015599:Trauma Severity Indices; D013519:Urogenital Surgical Procedures / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery