The role of colour Doppler imaging in the management of Peyronie's disease

To determine the role of colour Doppler imaging (CDI) in the investigation of erectile dysfunction in patients with Peyronie's disease. Fifty consecutive patients (age 35-75 years) with Peyronie's disease who were considered suitable for surgical treatment were investigated using CDI to de...

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Veröffentlicht in:British journal of urology 1998-04, Vol.81 (4), p.604-606
Hauptverfasser: AHMED, M, CHILTON, C. P, MUNSON, K. W, WILLIAMS, J. H, PALLAN, J. H, TURNER, G
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container_end_page 606
container_issue 4
container_start_page 604
container_title British journal of urology
container_volume 81
creator AHMED, M
CHILTON, C. P
MUNSON, K. W
WILLIAMS, J. H
PALLAN, J. H
TURNER, G
description To determine the role of colour Doppler imaging (CDI) in the investigation of erectile dysfunction in patients with Peyronie's disease. Fifty consecutive patients (age 35-75 years) with Peyronie's disease who were considered suitable for surgical treatment were investigated using CDI to determine the haemodynamic variables of penile vasculature after an intracorporeal injection of 20 microg of alprostadil (with manual self-stimulation). A clinician independently recorded the quality of erection and the deformity. Twenty of 50 patients (40%) considered they had normal erectile function despite their penile deformity and all had normal responses, although they tended to exaggerate the degree of penile deformity. Of the 30 remaining patients, 21 who considered themselves to have erectile dysfunction had normal clinical and CDI haemodynamic responses to alprostadil. The remaining nine patients had a variety of erectile problems and whilst CDI showed altered haemodynamic values, in no case did CDI alter the proposed treatment based on the clinically apparent features of those patients. Colour Doppler imaging of the penis after pharmacologically induced erection gives anatomical and functional information in patients with Peyronie's disease but does not provide useful additional information to aid the selection of surgical treatment for the disease.
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Of the 30 remaining patients, 21 who considered themselves to have erectile dysfunction had normal clinical and CDI haemodynamic responses to alprostadil. The remaining nine patients had a variety of erectile problems and whilst CDI showed altered haemodynamic values, in no case did CDI alter the proposed treatment based on the clinically apparent features of those patients. 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Obstetrics ; Hemodynamics ; Humans ; Impotence, Vasculogenic - diagnostic imaging ; Impotence, Vasculogenic - physiopathology ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Male genital diseases ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Penile Induration - diagnostic imaging ; Penile Induration - physiopathology ; Penis - blood supply ; Ultrasonic investigative techniques ; Ultrasonography, Doppler, Color - methods</subject><ispartof>British journal of urology, 1998-04, Vol.81 (4), p.604-606</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2194111$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9598635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AHMED, M</creatorcontrib><creatorcontrib>CHILTON, C. 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source MEDLINE; Wiley Online Library All Journals
subjects Adult
Aged
Biological and medical sciences
Blood Flow Velocity
Erectile Dysfunction - diagnostic imaging
Erectile Dysfunction - etiology
Erectile Dysfunction - physiopathology
Genital system. Mammary gland
Gynecology. Andrology. Obstetrics
Hemodynamics
Humans
Impotence, Vasculogenic - diagnostic imaging
Impotence, Vasculogenic - physiopathology
Investigative techniques, diagnostic techniques (general aspects)
Male
Male genital diseases
Medical sciences
Middle Aged
Non tumoral diseases
Penile Induration - diagnostic imaging
Penile Induration - physiopathology
Penis - blood supply
Ultrasonic investigative techniques
Ultrasonography, Doppler, Color - methods
title The role of colour Doppler imaging in the management of Peyronie's disease
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