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Opacification of the glans penis during cavernosography
C Delcour1, E Wespes, G Vandenbosch
1Department of Radiology, Université Libre de Bruxelles, Hopital Erasme, Belgium.
The Journal of Urology
|April 1, 1988
Summary
Opacification of the glans penis during cavernosography is a normal finding, not indicative of pathological shunts. This study suggests reclassifying this observation in impotence evaluations.
Area of Science:
- Urology
- Radiology
- Andrology
Background:
- Cavernosography and cavernometry are diagnostic tools for erectile dysfunction.
- Opacification of the glans penis is an observed phenomenon during these procedures.
Purpose of the Study:
- To determine if glans penis opacification during cavernosography indicates pathological venous shunts.
- To clarify the significance of glans penis opacification in the context of erectile dysfunction.
Main Methods:
- Cavernosography and cavernometry were conducted on 150 impotent patients and 10 healthy volunteers.
- Observed and recorded instances of glans penis opacification.
Main Results:
- Glans penis opacification occurred in 5 of 10 normal volunteers.
- Opacification was noted in 53% of impotent patients with venous leakage and 36% without.
- The incidence was higher in impotent patients compared to normal volunteers.
Conclusions:
- Glans penis opacification during cavernosography should be considered a normal variant.
- It does not necessarily signify pathological shunts between the glans and corpora cavernosa.
- Re-evaluation of its diagnostic importance in impotence is warranted.