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Penile Doppler ultrasonography and elastography evaluation in patients with erectile dysfunction
Namik Kemal Altinbas1, Nurullah Hamidi2
1Department of Radiology, Faculty of Medicine, Ankara University, Ankara, Turkey.
Polish Journal of Radiology
|January 19, 2019
Summary
Penile sonoelastography may help assess penile tissue stiffness in erectile dysfunction (ED) evaluation. This study explored the link between penile elasticity, erectile function scores, and Doppler ultrasound findings in ED patients.
Area of Science:
- Urology
- Andrology
- Medical Imaging
Background:
- Erectile dysfunction (ED) is a common condition affecting male sexual health.
- Penile Doppler ultrasonography (US) is a standard diagnostic tool for ED.
- Assessing penile tissue elasticity could offer additional diagnostic insights.
Purpose of the Study:
- To investigate the correlation between penile elasticity, erectile function scores, and Doppler US findings in patients with ED.
- To evaluate the added value of sonoelastography in routine ED assessment.
Main Methods:
- Real-time strain elastography was performed during penile Doppler US in 88 ED patients.
- Erectile function was assessed using the Erection Hardness Grading Scale, International Index of Erectile Function (IIEF-5), and Sexual Health Inventory for Men (SHIM).
- Penile Doppler US diagnoses included normal, borderline arterial insufficiency, arterial insufficiency, and venous insufficiency.
Main Results:
- 57% of patients exhibited abnormal penile Doppler US findings.
- Patients with arterial failure showed the lowest erection hardness grades and IIEF-5 scores.
- Penile elasticity scores differed significantly only in the venous insufficiency group compared to the normal group.
Conclusions:
- Sonoelastography provides valuable information on penile cavernous body stiffness.
- This technique may enhance the routine diagnostic evaluation of erectile dysfunction.
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