US Evaluation of Patients with Peyronie’s Disease

Bertolotto, Michele; Coss, Matteo; Neumaier, Carlo Emanuele

doi:10.1007/978-3-540-36677-5_8

Cited by 9 publications

(8 citation statements)

References 23 publications

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“…To enhance the communication between physicians, it is essential to map the US findings which should include the topography and dimensions of the lesions. [48] Other associated disorders (e.g., Dupuytren's contractures or vascular disease) and inciting events (e.g., trauma or genitourinary instrumentation) should be evaluated, as well.…”

Section: Diagnostic Tools In Pdmentioning

confidence: 99%

“…In this case, a higher peak systolic velocity and a lower resistance index is detected, compared with the other cavernosal-spongiosal communications, supporting the hypothesis that blood leakage can occur also through these vessels. [48] Although alteration of the venous occlusive mechanism has been claimed to be present in a high percent of Peyronie's patients with erectile dysfunction, the role of arterial inflow must be investigated. In fact, color Doppler ultrasonography shows associated arterial insufficiency in 30–50% of these patients.…”

Section: Diagnostic Tools In Pdmentioning

confidence: 99%

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US Imaging in Peyronie's Disease

Kalokairinou¹,

Konstantinidis²,

Domazou³

et al. 2012

Journal of Clinical Imaging Science

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The aim of this study is to assess the role of ultrasound (US) in Peyronie's Disease (PD). PD is a psychologically and physically devastating disorder that manifests in middle-aged men. Fibrous inelastic plaques in the tunica albuginea, result in palpable penile scar in the flaccid condition and cause painful erections and penile deformity, including penile curvature, hinging, narrowing, and shortening of penis. Penile deformity is the most common (52%) first symptom of PD and is present in 94% of affected men. US is the primary imaging modality of choice due to its easy availability, low risk, and ability to image and quantify both calcified and soft tissue elements of PD. US provides identification of smaller and non-palpable lesions and shows the extent of fibrosis. Detection of calcifications within the plaque suggests stabilization of the disease and provides information useful to select patients for appropriate treatment.

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Section: Diagnostic Tools In Pdmentioning

confidence: 99%

Section: Diagnostic Tools In Pdmentioning

confidence: 99%

US Imaging in Peyronie's Disease

Kalokairinou¹,

Konstantinidis²,

Domazou³

et al. 2012

Journal of Clinical Imaging Science

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“…The differential diagnoses include the following conditions: congenital curvature of the penis, chordee with or without hypospadias, dorsal vein thrombosis, albugineal scar and cavernosal fibrosis secondary to local trauma, chronic inflammation, scleroderma, benign or malignant primary or secondary tumors 16 . The above diseases were differentiated from PD on the basis of Physical characteristics, Clinical diagnosis, laboratory investigations and other special investigations.…”

Section: Differential Diagnosismentioning

confidence: 99%

Clinical Efficacy of a Traditional Ayurvedic Compound on Peyronie's Disease: A Case Study

Barik¹,

Ratha²,

Dixit³

et al. 2016

Int. J. Res. Ayurveda Pharm.

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Peyronie's disease (PD) is an acquired benign disease of the penis. It is a localized connective tissue disorder, includes the presence of fibrous plaque in the penile shaft, penile curvature, penile pain and erectile dysfunction. There are numerous conventional oral drugs to treat the condition with weak scientific evidence. Due to lack of definite pathophysiology of the disease surgical therapy still represents the gold standard for correction of penile deviation. Phytomedicines and traditional medicines are the first choice to treat male sexual disorders in many developing countries. We report a case of a 45-year-old male who presented with plasticity of penis, difficulty of erection and sexual inability. We treated this case with Kanchanara Guggulu, a classical Ayurvedic formulation and got promising result in reduction in size of plaque, reduction of curvature of the penis, diminution in pain at erection, correction of erection function. Moreover, well structured, standardized, randomized placebo-controlled studies have to be done in future.

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“…Besides identification of the plaques and their relationships, evaluation of the penile vessels with Doppler techniques is useful to distinguish plaques, involvement of the penile septum, and the relationship between the plaques and the penile vasculature (8).…”

Section: Teaching Pointmentioning

confidence: 99%

“…US is the first imaging modality used to evaluate patients with Peyronie disease (8,10). During pharmacologically induced erection, Peyronie MR imaging is at least as sensitive as US in demonstrating extension of plaques and their relationships with adjacent structures (4).…”

Section: Teaching Pointmentioning

confidence: 99%

Painful Penile Induration: Imaging Findings and Management

Bertolotto¹,

Pavlica²,

Serafini³

et al. 2009

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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 is often required to confirm the clinical diagnosis, assess the extent of disease, and determine patient treatment. A basic clinical investigation comprising penile inspection and palpation should be performed by the radiologist before imaging; such an evaluation is a great help in selecting the best imaging modality and examination technique. Moreover, acquisition of preliminary clinical information eases interpretation of the imaging features and facilitates identification of clinically relevant information that may result in a change in patient treatment. In standard clinical practice, color Doppler ultrasonography is often the first imaging modality used to evaluate patients with painful penile induration. This technique clearly demonstrates normal penile anatomy and its corresponding changes in most of the clinically relevant situations. Magnetic resonance imaging is the optimal imaging modality for tumor staging. Other imaging modalities are required less frequently.

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US Evaluation of Patients with Peyronie’s Disease

Cited by 9 publications

References 23 publications

US Imaging in Peyronie's Disease

US Imaging in Peyronie's Disease

Clinical Efficacy of a Traditional Ayurvedic Compound on Peyronie's Disease: A Case Study

Painful Penile Induration: Imaging Findings and Management

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