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Doppler evaluation of erectile dysfunction – Part 2

Abstract

Doppler evaluation in erectile dysfunction (ED) has a significant role in determining the cause of ED. The advantages of penile Doppler and pharmacologic duplex ultrasonography include objective, minimally invasive evaluation of penile hemodynamics at a relatively low cost. Arteriogenic ED may be secondary to peripheral vascular disease and diabetes, or may be seen in association with coronary artery disease. Various parameters, such as diameter of the cavernosal artery, peak systolic flow velocity, degree of arterial dilatation and acceleration time, have been suggested for the diagnosis of arteriogenic ED, but peak systolic flow velocity is the most accurate indicator of arterial disease. This second part of the review article describes the various causes of ED and the interpretation and evaluation of color flow Doppler examination in ED.

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References

  1. Roy C, Saussine C, Tuchmann C, Castel E, Lang H, Jacqmin D . Duplex Doppler sonography of the flaccid penis: potential role in the evaluation of impotence. J Clin Ultrasound 2000; 28: 290–294.

    Article  CAS  Google Scholar 

  2. Paushter DM . Role of duplex sonography in the evaluation of sexual impotence. Am J Roentgenol 1989; 153: 1161–1163.

    Article  CAS  Google Scholar 

  3. Teh HS, Lin MB, Tsou IY, Khoo TK, Lim PH, Ng FC et al. Penile colour duplex ultrasonography as a screening tool for venogenic erectile dysfunction. Ann Acad Med Singapore 2002; 31: 165–169.

    CAS  Google Scholar 

  4. Fitzgerald SW, Erickson SJ, Foley WD, Lipchik EO, Lawson TL . Color Doppler sonography in the evaluation of erectile dysfunction. Radiographics 1992; 12: 3–17.

    Article  CAS  Google Scholar 

  5. Kadioglu A, Tefekli A, Erol B, Oktar T, Tunc M, Tellaloglu S . A retrospective review of 307 men with Peyronie's disease. J Urol 2002; 168: 1075–1079.

    Article  Google Scholar 

  6. Sadeghi-Nejad H, Dogra V, Seftel AD, Mohamed MA . Priapism. Radiol Clin N Am 2004; 42: 427–443.

    Article  Google Scholar 

  7. Spycher MA, Hauri D . The ultrastructure of the erectile tissue in priapism. J Urol 1986; 135: 142.

    Article  CAS  Google Scholar 

  8. Broderick GA, Gordon D, Hypolite J, Levin RM . Anoxia and corporal smooth muscle dysfunction: a model for ischemic priapism. J Urol 1994; 151: 259.

    Article  CAS  Google Scholar 

  9. Dogra V, Bhatt S . Erectile dysfunction and priapism. In: Dogra V, Rubens D (eds). Ultrasound Secrets, 1st edn. Hanley & Belfus: Philadelphia, PA, 2004, pp. 420–424.

    Google Scholar 

  10. Bhatt S, Kocakoc E, Rubens DJ, Seftel AD, Dogra VS . Sonographic evaluation of penile trauma. J Ultrasound Med 2005; 24: 993–1000.

    Article  Google Scholar 

  11. Cerone JS, Agarwal P, McAchran S, Seftel A . Penile fracture with isolated corpus spongiosum injury. Int J Impot Res 2006; 33: 218–220.

    Article  Google Scholar 

  12. Kervancioglu S, Ozkur A, Bayram MM . Color Doppler sonographic findings in penile fracture. J Clin Ultrasound 2004; 33: 38–42.

    Article  Google Scholar 

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Golijanin, D., Singer, E., Davis, R. et al. Doppler evaluation of erectile dysfunction – Part 2. Int J Impot Res 19, 43–48 (2007). https://doi.org/10.1038/sj.ijir.3901478

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