2009
DOI: 10.1148/rg.292085117
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Painful Penile Induration: Imaging Findings and Management

Abstract: A number of benign and malignant diseases with different causes, clinical features, management, and outcome can manifest as painful penile induration. The most common such conditions are active Peyronie disease, inflammation, trauma, venous or corporal thrombosis, acute ischemic disorders, and primary or secondary tumors. In patients with painful penile induration, a preliminary differential diagnosis is based on the patient's history and results of laboratory studies, penile inspection, and palpation. Imaging… Show more

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Cited by 41 publications
(24 citation statements)
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References 51 publications
(55 reference statements)
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“…On color Doppler, the cavernous arteries present single phase flow. In the flaccid penis (Figure 3), the normal cavernous arteries show a systolic peak between 11 and 20 cm/s (1) . At the beginning of erection, the systolic and diastolic flows undergo progressive increases.…”
Section: Anatomy and Physiologymentioning
confidence: 99%
See 3 more Smart Citations
“…On color Doppler, the cavernous arteries present single phase flow. In the flaccid penis (Figure 3), the normal cavernous arteries show a systolic peak between 11 and 20 cm/s (1) . At the beginning of erection, the systolic and diastolic flows undergo progressive increases.…”
Section: Anatomy and Physiologymentioning
confidence: 99%
“…At the beginning of erection, the systolic and diastolic flows undergo progressive increases. When vein occlusion begins, the diastolic flow decreases progressively, and once stiffness is established, it becomes negative (1) .…”
Section: Anatomy and Physiologymentioning
confidence: 99%
See 2 more Smart Citations
“…Ultrasonography is a noninvasive way to differentiate between ischemic and nonischemic priapism, instead of blood gas sampling that requires needle aspiration. 34 Color and pulsed Doppler imaging are used to evaluate for patency of the cavernosal arteries as well as detailed evaluation of the blood flow including waveforms and peak systolic and end-diastolic velocities. In general, patients with ischemic priapism have minimal or absent blood flow in the cavernosal arteries (Fig.…”
Section: Penile Painmentioning
confidence: 99%