EVALUATION OF ERECTILE DYSFUNCTION WITH DUPLEX COLOUR DOPPLER SONOGRAPHY OF PATIENTS PRESENTING IN IGIMS, PATNA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 6
Abstract
BACKGROUND Duplex colour Doppler sonography is a useful tool for the evaluation of erectile dysfunction, especially for organic causes like arterial and venous. The causes of erectile dysfunction are multiple. It could be vasculogenic, psychogenic, endocrinologic, neurologic and pharmacologic. Objective- To evaluate the role of duplex colour Doppler sonography for erectile dysfunction. MATERIALS AND METHODS An observational cross-sectional study was conducted at the Radiology Department of IGIMS, Patna from 06/04/17 to 30/12/17. All consecutive patients presenting with erectile dysfunction and who were undergoing penile Doppler evaluation with intracavernosal injection of papaverine 60 mg (2 mL) were included in this study. RESULTS A total of 21 patients with age range of 20 - 59 years were included in the study. A normal response was noted in 15 patients (psychogenic cases). Vasculogenic causes were observed in six patients, two with arterial insufficiency and four with venous leak. Peyronie’s disease was diagnosed in three patients. CONCLUSION Penile colour Doppler sonographic evaluation with papaverine is an excellent, effective, accurate and technically easy method of assessing patients with erectile dysfunction. It can easily differentiate a psychogenic cause of erectile dysfunction from vasculogenic cause and in vasculogenic cause it can accurately detect arterial insufficiency and venous incompetence.
Authors and Affiliations
Amit Kumar, Sanjay K Suman, Umakant Prasad, Chandra Bhusan Singh
Keywords
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- EP ID EP399011
- DOI 10.14260/jemds/2018/167
- Views 91
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