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Zapytanie: GOLUBIŃSKI
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Tytuł oryginału: Usefulness of power Doppler ultarsonography in evaluating erectile dysfunction.
Autorzy: Golubiński A. J., Sikorski A[ndrzej]
Źródło: Br. J. Urol. 2002: 89 (7) s.779-782, il., bibliogr. 16 poz.
Sygnatura GBL: 300,816

Hasła klasyfikacyjne GBL:
  • urologia

    Typ dokumentu:
  • praca kliniczna
  • praca opublikowana za granicą
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli 45-64 r.ż.
  • dorośli = 65 r.ż.
  • płeć męska

    Streszczenie angielskie: Objective: To evaluate deep penile arterial flow after an intracavernosal injection with papaverine in patients with erectile dysfunction (ED). Patients and methods: Twenty patients with ED were evaluated using power Doppler ultrasonography with a linear probe (8 MHz). Diagnostic tests were undertaken after an intracavernosal injection with 40 mg papaverine. The peak systolic velocity (PSV), enddiastolic velocity (EDV) and resistive index (RI) were analysed. Results: After injecting papaverine, seven patients had a normal erection and appropriate waveform patterns; their mean PSV was 30.7 cm/s, the EDV 4.42 cm/s and the RI 0.85. There was tumescence and elongation of the penis with no rigidity in eight patients; their mean PSV was 23.9 cm/s, the EDV 7.34 cm/s and the RI 0.72. There was no erection in five patients. The abnormal flow values showed insufficient arterial vessels in a quarter of the men, venous leakage in 15 p.c. and mixed ED in 20 p.c. Conclusion: The power Doppler technique allows the accurate location and evaluation of deep penile arteries. Vascular pathology may be differentiated after an intracavernosal injection with a vasomotor agent. Recognising the pathological pattern assists in choosing the best method of treatment.

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