Transperineal ultrasound imaging of the internal pudendal artery in arteriogenic erectile dysfunction

Autor: A.M. Shesternja, V V Anichkin, O.V. Parhomenko, D M Nitkin, E. A. Povelitsa, N. I. Dosta
Předmět:
Zdroj: Scopus-Elsevier
Popis: AIM To determine the practical and diagnostic value of transperineal ultrasound imaging of the internal pudendal artery (IPA) in patients with arteriogenic erectile dysfunction (ED). MATERIALS AND METHODS Transperineal IPA and penile Doppler ultrasonography was performed in 50 healthy young male volunteers aged 23.6+/-3.4 years without ED (IIEF-5 score of 21-22) and 60 patients with ED (IIEF-5 score of 6-18, mean age 49+/-4.6 years), including 30 men with prostate cancer (PCa) after comprehensive treatment and 30 patients with type 1 and type 2 diabetes mellitus. To determine the diagnostic value of the transperineal IPA imaging, the results were compared with the findings of magnetic resonance or contrast-enhanced dynamic CT angiography of the iliac arteries. RESULTS In all healthy men no abnormalities were found in the perineal primary arterial blood flow, in 100% of cases perineal branch of IPA was rectilinear, while patients with arteriogenic ED had low IPA and penile peak systolic blood flow velocity (
Databáze: OpenAIRE