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 |
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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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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.</description><identifier>ISSN: 0007-1331</identifier><identifier>PMID: 9598635</identifier><identifier>CODEN: BJURAN</identifier><language>eng</language><publisher>Oxford: Blackwell</publisher><subject>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</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&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. P</creatorcontrib><creatorcontrib>MUNSON, K. W</creatorcontrib><creatorcontrib>WILLIAMS, J. H</creatorcontrib><creatorcontrib>PALLAN, J. H</creatorcontrib><creatorcontrib>TURNER, G</creatorcontrib><title>The role of colour Doppler imaging in the management of Peyronie's disease</title><title>British journal of urology</title><addtitle>Br J Urol</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Erectile Dysfunction - diagnostic imaging</subject><subject>Erectile Dysfunction - etiology</subject><subject>Erectile Dysfunction - physiopathology</subject><subject>Genital system. Mammary gland</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Impotence, Vasculogenic - diagnostic imaging</subject><subject>Impotence, Vasculogenic - physiopathology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Penile Induration - diagnostic imaging</subject><subject>Penile Induration - physiopathology</subject><subject>Penis - blood supply</subject><subject>Ultrasonic investigative techniques</subject><subject>Ultrasonography, Doppler, Color - methods</subject><issn>0007-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9z7tOwzAYBWAPoFIKj4DkAcEUyZf4NqJyVyUYyhy5zp9i5NjBToa-PUVETGc4n450TtCSEKIqyjk9Q-elfBFCaynrBVoYYbTkYolet5-AcwqAU4ddCmnK-D4NQ4CMfW_3Pu6xj3g8qt5Gu4ce4vhr3-GQU_RwW3DrC9gCF-i0s6HA5Zwr9PH4sF0_V5u3p5f13aYaGBdj5ZxRbqelNFwJzpwTLWdUdQSI5C0IJ4zimjjXgTSGKW2AgjZEKweMtpyv0M3f7pDT9wRlbHpfHIRgI6SpNMpozUz9C69mOO16aJshHx_lQzOfP_bXc2-Ls6HLNjpf_hmjpqaU8h_q32Bl</recordid><startdate>19980401</startdate><enddate>19980401</enddate><creator>AHMED, M</creator><creator>CHILTON, C. P</creator><creator>MUNSON, K. W</creator><creator>WILLIAMS, J. H</creator><creator>PALLAN, J. H</creator><creator>TURNER, G</creator><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19980401</creationdate><title>The role of colour Doppler imaging in the management of Peyronie's disease</title><author>AHMED, M ; CHILTON, C. P ; MUNSON, K. W ; WILLIAMS, J. H ; PALLAN, J. H ; TURNER, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-cc97cb866937532cc5d3217f0e063de5c597380ccfe6992789e1e89087ce21d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Blood Flow Velocity</topic><topic>Erectile Dysfunction - diagnostic imaging</topic><topic>Erectile Dysfunction - etiology</topic><topic>Erectile Dysfunction - physiopathology</topic><topic>Genital system. Mammary gland</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Impotence, Vasculogenic - diagnostic imaging</topic><topic>Impotence, Vasculogenic - physiopathology</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Penile Induration - diagnostic imaging</topic><topic>Penile Induration - physiopathology</topic><topic>Penis - blood supply</topic><topic>Ultrasonic investigative techniques</topic><topic>Ultrasonography, Doppler, Color - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>AHMED, M</creatorcontrib><creatorcontrib>CHILTON, C. P</creatorcontrib><creatorcontrib>MUNSON, K. W</creatorcontrib><creatorcontrib>WILLIAMS, J. H</creatorcontrib><creatorcontrib>PALLAN, J. H</creatorcontrib><creatorcontrib>TURNER, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>AHMED, M</au><au>CHILTON, C. P</au><au>MUNSON, K. W</au><au>WILLIAMS, J. H</au><au>PALLAN, J. H</au><au>TURNER, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of colour Doppler imaging in the management of Peyronie's disease</atitle><jtitle>British journal of urology</jtitle><addtitle>Br J Urol</addtitle><date>1998-04-01</date><risdate>1998</risdate><volume>81</volume><issue>4</issue><spage>604</spage><epage>606</epage><pages>604-606</pages><issn>0007-1331</issn><coden>BJURAN</coden><abstract>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.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>9598635</pmid><tpages>3</tpages></addata></record> |
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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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