title: Color Doppler US of the postoperative penis: anatomy and surgical complications.
abstract: A number of surgical procedures that significantly change the penile anatomy and vasculature can be used to manage pathologic conditions of the penis (eg, congenital and acquired deformities, erectile dysfunction, priapism). Phallic reconstruction surgery can be used for sex reassignment and after penile amputation or for correction of congenital malformations. Color Doppler ultrasonography (US) clearly depicts the normal penile anatomy and postoperative changes (eg, changes of the tunica albuginea, extraalbugineal pathologic fluid collections, cavernosal tissue changes produced by scars and fibrosis). It is also effective in evaluating surgery-related complications and determining the causes of erectile dysfunction and other unsatisfactory long-term results. Moreover, color Doppler US of the penile vessels and vascular anastomoses following revascularization allows direct evaluation of flow characteristics, shunt patency, and venous engorgement. Color Doppler US is the imaging modality of choice in evaluating patients who have undergone penile surgery.
authors.affiliation: Department of Radiology, University of Trieste, Trieste, Italy. bertolot@univ.trieste.it
authors.forename: Michele
authors.initials: M
authors.lastname: Bertolotto
authors.forename: Giovanni
authors.initials: G
authors.lastname: Serafini
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Savoca
authors.forename: Giovanni
authors.initials: G
authors.lastname: Liguori
authors.forename: Loretta
authors.initials: L
authors.lastname: Calderan
authors.forename: Cristiana
authors.initials: C
authors.lastname: Gasparini
authors.forename: Roberto Pozzi
authors.initials: RP
authors.lastname: Mucelli
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D010409:Penile Diseases / Q000000981:diagnostic imaging*; D010413:Penis / Q000033:anatomy & histology* / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D018615:Ultrasonography, Doppler, Color; D013520:Urologic Surgical Procedures / Q000379:methods