Penile Vascular Assessment Using Color Duplex Sonography in Men with Peyronie's Disease

Abstract

No AccessJournal of UrologyClinical Urology: Original Article1 Apr 1996Penile Vascular Assessment Using Color Duplex Sonography in Men with Peyronie's Disease Laurence A. Levine and Christopher L. Coogan Laurence A. LevineLaurence A. Levine and Christopher L. CooganChristopher L. Coogan View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66239-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed penile vasculature in men with Peyronie's disease using color duplex ultrasound. Materials and Methods: A total of 99 consecutive men with Peyronie's disease underwent duplex ultrasound with 60 mg. intracavernous papaverine to gain an understanding of penile vasculature and its correlation to erectile rigidity. Patients were stratified into groups according to duplex ultrasound vascular parameters and the presence or absence of impotence (that is rigidity adequate for intromission). Results: Of 97 men 31 (32 percent) complained of impotence, 8 of 99 (8 percent) had evidence of corporeal veno-occlusive dysfunction on duplex ultrasound (defined as end diastolic flow velocity greater than 4.5 cm. per second) and 43 percent had a history of vascular risk factors that may have contributed to erectile insufficiency. Impotent patients had decreased peak systolic flow velocity, increased end diastolic flow velocity and a higher percent of vascular risk factors (p = 0.0006, 0.027 and 0.0004, respectively) compared to potent patients. Conclusions: Duplex ultrasound provides a dynamic noninvasive functional assessment of penile vasculature in Peyronie's disease. 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Link, Google Scholar Department of Urology, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byGreenfield J, Lucas S and Levine L (2018) Factors Affecting the Loss of Length Associated With Tunica Albuginea Plication for Correction of Penile CurvatureJournal of Urology, VOL. 175, NO. 1, (238-241), Online publication date: 1-Jan-2006.KENDIRCI M, NOWFAR S, GUR S, JABREN G, SIKKA S and HELLSTROM W (2018) THE RELATIONSHIP BETWEEN THE TYPE OF PENILE ABNORMALITY AND PENILE VASCULAR STATUS IN PATIENTS WITH PEYRONIE'S DISEASEJournal of Urology, VOL. 174, NO. 2, (632-635), Online publication date: 1-Aug-2005.EL-SAKKA A and TAYEB K (2018) PEYRONIE'S DISEASE IN DIABETIC PATIENTS BEING SCREENED FOR ERECTILE DYSFUNCTIONJournal of Urology, VOL. 174, NO. 3, (1026-1030), Online publication date: 1-Sep-2005.USTA M, BIVALACQUA T, TOKATLI Z, RIVERA F, GULKESEN K, SIKKA S and HELLSTROM W (2018) STRATIFICATION OF PENILE VASCULAR PATHOLOGIES IN PATIENTS WITH PEYRONIE'S DISEASE AND IN MEN WITH ERECTILE DYSFUNCTION ACCORDING TO AGE: A COMPARATIVE STUDYJournal of Urology, VOL. 172, NO. 1, (259-262), Online publication date: 1-Jul-2004.Levine L, Goldman K and Greenfield J (2018) Experience With Intraplaque Injection of Verapamil for Peyronie's DiseaseJournal of Urology, VOL. 168, NO. 2, (621-626), Online publication date: 1-Aug-2002.YURKANIN J, DEAN R and WESSELLS H (2018) EFFECT OF INCISION AND SAPHENOUS VEIN GRAFTING FOR PEYRONIE'S DISEASE ON PENILE LENGTH AND SEXUAL SATISFACTIONJournal of Urology, VOL. 166, NO. 5, (1769-1773), Online publication date: 1-Nov-2001.TAM P, KELLER T, POPPITI R, GESUNDHEIT N and PADMA-NATHAN H (2018) HEMODYNAMIC EFFECTS OF TRANSURETHRAL ALPROSTADIL MEASURED BY COLOR DUPLEX ULTRASONOGRAPHY IN MEN WITH ERECTILE DYSFUNCTIONJournal of Urology, VOL. 160, NO. 4, (1321-1324), Online publication date: 1-Oct-1998.Chiou R, Pomeroy B, Chen W, Anderson J, Wobig R and Taylor R (2018) HEMODYNAMIC PATTERNS OF PHARMACOLOGICALLY INDUCED ERECTION: EVALUATION BY COLOR DOPPLER SONOGRAPHYJournal of Urology, VOL. 159, NO. 1, (109-112), Online publication date: 1-Jan-1998.Levine L (2018) TREATMENT OF PEYRONIE'S DISEASE WITH INTRALESIONAL VERAPAMIL INJECTIONJournal of Urology, VOL. 158, NO. 4, (1395-1399), Online publication date: 1-Oct-1997.Licht M and Lewis R (2018) Modified Nesbit Procedure for the Treatment of Peyronie's Disease: A Comparative Outcome AnalysisJournal of Urology, VOL. 158, NO. 2, (460-463), Online publication date: 1-Aug-1997.Levine L and Lenting E (2018) A SURGICAL ALGORITHM FOR THE TREATMENT OF PEYRONIE'S DISEASEJournal of Urology, VOL. 158, NO. 6, (2149-2152), Online publication date: 1-Dec-1997. Volume 155Issue 4April 1996Page: 1270-1273 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.MetricsAuthor Information Laurence A. Levine More articles by this author Christopher L. Coogan More articles by this author Expand All Advertisement PDF downloadLoading ...