A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction

Elgendi, Kareem; Zulia, Nicholas; Beilan, Jonathan

doi:10.1007/s11934-022-01135-4

Cited by 3 publications

(5 citation statements)

References 30 publications

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“…Nowadays, penile Doppler sonography is an essential tool for differentiating between vascular and nonvascular causes of ED. This ultrasound technology produces a detailed description of the hemodynamics of the patient’s erection cycle [ 36 ]. However, it is minimally invasive when assisted by intracavernosal injections such as alprostadil.…”

Section: Discussionmentioning

confidence: 99%

A New Approach to the Assessment of Erectile Dysfunction Based on Vasomotion Monitored by the Flow-Mediated Skin Fluorescence (FMSF) Technique—A Preliminary Study

Slowikowska-Hilczer,

Walczak-Jedrzejowska,

Adamczewska

et al. 2024

JCM

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Background: Erectile dysfunction (ED) most often has vascular etiology and usually is the earliest symptom of vascular dysfunction. The aim of this study was to evaluate vascular dysfunction with the use of the Flow-Mediated Skin Fluorescence (FMSF) technique in men with and without ED. Methods: Included were 39 men (median age 53) with ED and 40 men (median age 41.5) without ED. Medical interview, physical examination, and anthropometrical measurements were performed for all participants. The serum total testosterone, LH, and SHBG determinations were performed in patients with ED, and the Free Testosterone Index (FTI) was calculated. The FMSF technique was used to measure the microcirculatory oscillations at the baseline and to determine the flowmotion (FM) and vasomotion (VM) parameters. The Normoxia Oscillatory Index (NOI) was calculated, which represents the contribution of the endothelial (ENDO) and neurogenic (NEURO) oscillations relative to all oscillations detected at low-frequency intervals (<0.15 Hz): NOI = (ENDO + NEURO)/(ENDO + NEURO + VM). Results: In men with ED were found significantly lower FM and VM parameters, but the NOI was significantly higher in comparison to men without ED. VM and FM correlated significantly positively with erectile function, orgasmic function, and general sexual satisfaction in the whole group and the FTI in the ED group. The thresholds of 53.5 FM (AUC = 0.7) and 8.4 VM (AUC = 0.7) were predictive values for discriminating men with ED. Conclusions: It was shown that the FMSF diagnostic technique may be helpful in the early diagnosis of microcirculation dysfunction due to impaired vasomotion caused by decreased testosterone activity.

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Section: Discussionmentioning

confidence: 99%

A New Approach to the Assessment of Erectile Dysfunction Based on Vasomotion Monitored by the Flow-Mediated Skin Fluorescence (FMSF) Technique—A Preliminary Study

Slowikowska-Hilczer,

Walczak-Jedrzejowska,

Adamczewska

et al. 2024

JCM

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“… 7 Diagnostic efforts can be enhanced with Doppler ultrasound of the penile vessels, which can uncover obstruction in one or more penile arteries and provide a detailed overview of the patient's erectile hemodynamics. 11 Furthermore, complementary magnetic resonance imaging will reveal areas of hemorrhagic infarction, evident by hyperintensity of T1 and hypointensity of T2, in the central gland of the embolised side. 12 …”

Section: Discussionmentioning

confidence: 99%

“… 1 , 7 , 9 Consideration of antibiotic therapy with ciprofloxacin at a dose of 1g per day may also be recommended. 11 Furthermore, daily intake of 100 mg Aspirin has shown significant benefits in improving vasculogenic erectile dysfunction. 17 Furthermore, the incorporation of hyperbaric oxygen therapy has been shown to enhance penile sensitivity and erectile function.…”

Section: Discussionmentioning

confidence: 99%

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Ischemic penile necrosis following embolization of the prostate for benign prostatic hyperplasia: A case report

El Omri,

Taghouan,

Rais

et al. 2024

Urology Case Reports

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“…тем не менее, в рамках Бп интракавернозные инъекции используются во время проведения узИ сосудов полового члена с фармакологической пробой (фармакодопплерографии сосудов полового члена) с целью оценки состояния эректильной функции и пенильной гемодинамики, а также наиболее объективно выявлять искривление и деформации полового члена [43]. на момент написания обзора не было найдено ни одного исследования, оценивавшего эффективность и безопасность интракавернозных инъекций для пР пациентов после оперативного лечения Бп.…”

Section: анализ данных и обсуждениеunclassified

Penile rehabilitation in patients following surgical treatment of Peyronie’s disease

et al. 2023

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Peyronie's disease (PD) is an acquired disease, which is based on a violation of the wound healing process, which results in the formation of fibrous plaques in the tunica albuginea of the cavernous bodies. The prevalence of erectile dysfunction (ED) among patients with PD ranges from 22% to 54%, according to various studies. Surgical treatment remains the "gold standard" for correcting penile curvature in PD. It is important to note that the existing methods of PD surgery (techniques with shortening or lengthening of the tunica albuginea) carry the risks of developing ED or aggravating its severity. At the same time, the absence of adequate sexual rehabilitation following PD surgery is associated with a significant deterioration in functional outcomes. In view of the above, the article is aimed to systematise information on penile rehabilitation methods in patients following PD surgery, which showed that the problem remains relevant to the present day. Most existing penile rehabilitation methods are currently not sufficiently investigated, and it is therefore impossible to give clear recommendations on the use of any method. The small number of well-designed and randomised studies on this problem is noteworthy, most likely due to the relative rarity of the disease.

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A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction

Cited by 3 publications

References 30 publications

A New Approach to the Assessment of Erectile Dysfunction Based on Vasomotion Monitored by the Flow-Mediated Skin Fluorescence (FMSF) Technique—A Preliminary Study

A New Approach to the Assessment of Erectile Dysfunction Based on Vasomotion Monitored by the Flow-Mediated Skin Fluorescence (FMSF) Technique—A Preliminary Study

Ischemic penile necrosis following embolization of the prostate for benign prostatic hyperplasia: A case report

Penile rehabilitation in patients following surgical treatment of Peyronie’s disease

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