The efficacy of penile duplex ultrasound in erectile dysfunction management decision-making: facing the opinion leader
| Autor: | Andrea Cocci, Marta Pezzoli, Mattia Lo Re, David Ralph, Nim Christopher, Daniar Osmonov, Carlo Bettocchi, Rados Djinovic, Gabriele Antonini, Laurence Levine, Juan Ignacio Martínez Salamanca, Javier Romero Otero, Paulo Egydio, Ignacio Moncada Iribarren, Georgios Hatzichristodoulou, Paul Perito, Faix Antoine, Hyun Jun Park, Luigi Rolle, Ateş Kadıoğlu, Eduard Ruíz-Castañé, Koenraad Van Renterghem, Robert J Valenzuela, Steven K Wilson, Nuno Tomada, Marco Capece, Marco Falcone |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of Men's Health, Vol 20, Iss 6, Pp 8-11 (2024) |
| Druh dokumentu: | article |
| ISSN: | 1875-6867 1875-6859 |
| DOI: | 10.22514/jomh.2024.084 |
| Popis: | Erectile dysfunction (ED) poses a significant challenge in clinical practice, necessitating accurate diagnostic strategies to distinguish between organic and psychogenic causes. Current guidelines advocate a comprehensive approach involving medical history, physical examination and blood tests, with second-level analyses like the intracavernous injection of vasoactive drugs (ICI test) and penile duplex ultrasound (PDU) reserved for specific cases. A survey involving 24 urologists experienced in ED was conducted to assess their opinions on the appropriateness of the ICI test and PDU in six clinical scenarios. Results were analyzed using pie charts, revealing varied preferences among experts. The responses indicated diverse viewpoints, with preferences for the ICI test or PDU depending on the patient’s age, comorbidities, response to phosphodiesterase type 5 inhibitors (PDE5i) and concomitant Peyronie’s disease. In some cases, a significant proportion of experts opted for neither test. The study highlights the lack of consensus among experts regarding the routine use of PDU in ED management. Despite its diagnostic capabilities, the clinical utility of PDU remains unclear, and its role may be more justified in certain populations with anatomical abnormalities or specific conditions. The need for rigorous research to determine the impact of PDU on ED management decision-making is emphasized. |
| Databáze: | Directory of Open Access Journals |
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