[Comparison of cavernometry and duplex ultrasound in the diagnosis of veno-occlusive erectile dysfunction]

Autor: Xavier, Gamé, Abdelouaheb, Berrebi, Alain, Lostes, Bernard, Malavaud, Jean-Pierre, Sarramon, Pascal, Rischmann
Jazyk: francouzština
Rok vydání: 2006
Předmět:
Zdroj: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 16(4)
ISSN: 1166-7087
Popis: To compare pulsed duplex ultrasound and cavernometry in the aetiological diagnosis of veno-occlusive erectile dysfunction.Between September 1995 and January 2005, 81 patients with a mean age of 48.45 +/- 12.35 years consulting for erectile dysfunction were investigated by cavernometry and pulsed duplex ultrasound before and after sensitization by intracavernous injection of 10 microg/ml of prostaglandin. The results of these two examinations were compared by the kappa concordance test.According to pulsed duplex ultrasound, 54 patients presented veno-occlusive incompetence. According to cavernometry, 56 patients presented veno-occlusive incompetence. The concordance between the results of the two examinations was only moderate (kappa = 0.52, p0.0001, 95% CI: 0.5886-0.7967).Duplex ultrasound is a first-line examination in a case of suspected organic erectile dysfunction due to a vascular cause. However, due to the limited concordance for the aetiological diagnosis of veno-occlusive erectile dysfunction between duplex ultrasound and cavernometry, cavernometry is still indicated in highly selected cases such as preoperative work-up.
Databáze: OpenAIRE