Skip to main content
SpringerLink
Log in

US Evaluation of Erectile Dysfunction

  • Chapter
Color Doppler US of the Penis

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 1743 Accesses

Abstract

Grey-scale and color-Doppler ultrasonographies are the most widely used, non-invasive and readily available imaging modalities for diagnostic purposes in studying erectile dysfunction (Lehmann et al. 1996). In fact, after clinical examination, it is the first tool in imaging algorithms used for the evaluation of the anatomic and functional status of the penis and of the penile vessels in patients who complain of erectile problems (NIH 1993).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bertolotto M, Neumaier CE (1999) Penile sonography. Eur Radiol 9[Suppl 3]:S407–412

    Article  PubMed  Google Scholar 

  • Bookstein JJ (1987) Cavernosal venocclusive insufficiency in male impotence: evaluation of degree and location. Radiology 164:175–178

    PubMed  CAS  Google Scholar 

  • Broderick GA (1998) Evidence based assessment of erectile dysfunction. Int J Impot Res 10[Suppl 2]:S64–73; discussion S77–69

    PubMed  Google Scholar 

  • Chen J, Greenstein A, Matzkin H (2000) Is a second injection of vasoactive medication necessary during color duplex Doppler evaluation of young patients with veno-occlusive erectile dysfunction? Urology 55:927–930

    Article  PubMed  CAS  Google Scholar 

  • Chiou RK, Alberts GL, Pomeroy BD et al (1999) Study of cavernosal arterial anatomy using color and power Doppler sonography: impact on hemodynamic parameter measurement. J Urol 162:358–360

    Article  PubMed  CAS  Google Scholar 

  • Cormio L, Bettocchi C, Zizzi V et al (1996) [Penile dynamic color Doppler echography in the diagnosis of erection disorders]. Arch Ital Urol Androl 68:53–55

    PubMed  CAS  Google Scholar 

  • de Meyer JM, Thibo P (1998) The correlation among cavernous pressure, penile rigidity and resistance index. J Urol 160:63–66

    Article  PubMed  Google Scholar 

  • Delcour C, Wespes E, Vandenbosch G et al (1986) Impotence: evaluation with cavernosography. Radiology 161:803–806

    PubMed  CAS  Google Scholar 

  • Erbagci A, Yagci F, Sarica K et al (2002) Evaluation and therapeutic regulation of erectile dysfunction with visual stimulation test. An objective approach by using the sildenafil citrate test. Urol Int 69:21–26

    Article  PubMed  Google Scholar 

  • Fitzgerald SW, Erickson SJ, Foley WD et al (1991) Color Doppler sonography in the evaluation of erectile dysfunction: patterns of temporal response to papaverine. AJR Am J Roentgenol 157:331–336

    PubMed  CAS  Google Scholar 

  • Foldvari M, Oguejiofor C, Afridi S et al (1998) Liposome encapsulated prostaglandin E1 in erectile dysfunction: correlation between in vitro delivery through foreskin and efficacy in patients. Urology 52:838–843

    Article  PubMed  CAS  Google Scholar 

  • Govier FE, Asase D, Hefty TR et al (1995) Timing of penile color flow duplex ultrasonography using a triple drug mixture. J Urol 153:1472–1475

    Article  PubMed  CAS  Google Scholar 

  • Hampson SJ, Cowie AG, Richards D, Lees WR (1992) Independent evaluation of impotence by colour Doppler imaging and cavernosometry. Eur Urol 21:27–31

    PubMed  CAS  Google Scholar 

  • Hwang TI, Liu PZ, Yang CR (1991) Evaluation of penile dorsal arteries and deep arteries in arteriogenic impotence. J Urol 146:46–49

    PubMed  CAS  Google Scholar 

  • Keogan MT, Kliewer MA, Hertzberg BS et al (1996) Doppler sonography in the evaluation of corporovenous competence after penile vein ligation surgery. J Ultrasound Med 15:227–233

    PubMed  CAS  Google Scholar 

  • Kim ED, McVary KT (1995) Topical prostaglandin-E1 for the treatment of erectile dysfunction. J Urol 153:1828–1830

    Article  PubMed  CAS  Google Scholar 

  • Klingler HC, Kratzik C, Pycha A, Marberger M (1999) Value of power Doppler sonography in the investigation of erectile dysfunction. Eur Urol 36:320–326

    Article  PubMed  CAS  Google Scholar 

  • Knispel HH, Andresen R (1992) Color-coded duplex sonography in impotence: significance of different flow parameters in patients and controls. Eur Urol 21:22–26

    PubMed  CAS  Google Scholar 

  • Kropman RF, Schipper J, van Oostayen JA et al (1992) The value of increased end diastolic velocity during penile duplex sonography in relation to pathological venous leakage in erectile dysfunction. J Urol 148:314–317

    PubMed  CAS  Google Scholar 

  • Lehmann K, John H, Kacl G et al (1999) Variable response to intracavernous prostaglandin E1 testing for erectile dysfunction. Urology 54:539–543

    Article  PubMed  CAS  Google Scholar 

  • Lehmann K, Kacl G, Hagspiel K, Hauri D (1996) [The value of color-coded duplex ultrasound as standard assessment in erectile dysfunction]. Urologe A 35:456–461; discussion 461–452

    Article  PubMed  CAS  Google Scholar 

  • Lue TF (1993) Erectile dysfunction: problems and challenges. J Urol 149:1256–1257

    PubMed  CAS  Google Scholar 

  • Lue TF, Hricak H, Schmidt RA, Tanagho EA (1986) Functional evaluation of penile veins by cavernosography in papaverine-induced erection. J Urol 135:479–482

    PubMed  CAS  Google Scholar 

  • Mancini M, Bartolini M, Maggi M et al (1996) The presence of arterial anatomical variations can affect the results of duplex sonographic evaluation of penile vessels in impotent patients. J Urol 155:1919–1923

    Article  PubMed  CAS  Google Scholar 

  • Mancini M, Bartolini M, Maggi M et al (2000) Duplex ultrasound evaluation of cavernosal peak systolic velocity and waveform acceleration in the penile flaccid state: clinical significance in the assessment of the arterial supply in patients with erectile dysfunction. Int J Androl 23:199–204

    Article  PubMed  CAS  Google Scholar 

  • Meuleman EJ, Bemelmans BL, Doesburg WH et al (1992a) Penile pharmacological duplex ultrasonography: a doseeffect study comparing papaverine, papaverine/phentolamine and prostaglandin E1. J Urol 148:63–66

    PubMed  CAS  Google Scholar 

  • Meuleman EJ, Bemelmans BL, van Asten WN et al (1992b) Assessment of penile blood flow by duplex ultrasonography in 44 men with normal erectile potency in different phases of erection. J Urol 147:51–56

    PubMed  CAS  Google Scholar 

  • Mills RD, Sethia KK (1996) Reproducibility of penile arterial colour duplex ultrasonography. Br J Urol 78:109–112

    PubMed  CAS  Google Scholar 

  • Montorsi F, Sarteschi M, Maga T et al (1998) Functional anatomy of cavernous helicine arterioles in potent subjects. J Urol 159:808–810

    Article  PubMed  CAS  Google Scholar 

  • Mulhall JP, Levine LA, Junemann KP (2006) Erection hardness: a unifying factor for defining response in the treatment of erectile dysfunction. Urology 68:17–25

    Article  PubMed  Google Scholar 

  • Nelson RP, Lue TF (1989) Determination of erectile penile volume by ultrasonography. J Urol 141:1123–1126

    PubMed  CAS  Google Scholar 

  • NIH Consensus Conference (1993) Impotence. NIH Consensus Development Panel on Impotence. JAMA 270:83–90

    Article  Google Scholar 

  • Oates CP, Pickard RS, Powell PH et al (1995) The use of duplex ultrasound in the assessment of arterial supply to the penis in vasculogenic impotence. J Urol 153:354–357

    Article  PubMed  CAS  Google Scholar 

  • Padma-Nathan H, Hellstrom WJ, Kaiser FE et al (1997) Treatment of men with erectile dysfunction with transurethral alprostadil. Medicated Urethral System for Erection (MUSE) Study Group. N Engl J Med 336:1–7

    Article  PubMed  CAS  Google Scholar 

  • Park K, Kwon DD, Oh BR et al (2002) Efficacy of virtual glasses in audio-visual sexual stimulation during penile color duplex Doppler ultrasonography. Eur Urol 41:62–65

    Article  PubMed  Google Scholar 

  • Pescatori ES, Silingardi V, Galeazzi GM et al (2000) Audiovisual sexual stimulation by virtual glasses is effective in inducing complete cavernosal smooth muscle relaxation: a pharmacocavernosometric study. Int J Impot Res 12:83–88; discussion 88–90

    Article  PubMed  CAS  Google Scholar 

  • Rosen MP, Schwartz AN, Levine FJ, Greenfield AJ (1991) Radiologic assessment of impotence: angiography, sonography, cavernosography, and scintigraphy. AJR Am J Roentgenol 157:923–931; discussion 932–924

    PubMed  CAS  Google Scholar 

  • Rosen RC, Althof SE, Giuliano F (2006) Research instruments for the diagnosis and treatment of patients with erectile dysfunction. Urology 68:6–16

    Article  PubMed  Google Scholar 

  • Rosen RC, Cappelleri JC, Gendrano N, 3rd (2002) The International Index of Erectile Function (IIEF): a state-of-the-science review. Int J Impot Res 14:226–244

    Article  PubMed  CAS  Google Scholar 

  • Rosen RC, Riley A, Wagner G et al (1997) The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49:822–830

    Article  PubMed  CAS  Google Scholar 

  • Sarteschi LM, Montorsi F, Fabris FM et al (1998) Cavernous arterial and arteriolar circulation in patients with erectile dysfunction: a power Doppler study. J Urol 159:428–432

    Article  PubMed  CAS  Google Scholar 

  • Shabsigh R, Fishman IJ, Quesada ET et al (1989) Evaluation of vasculogenic erectile impotence using penile duplex ultrasonography. J Urol 142:1469–1474

    PubMed  CAS  Google Scholar 

  • Tam PY, Keller T, Poppiti R et al (1998) Hemodynamic effects of transurethral alprostadil measured by color duplex ultrasonography in men with erectile dysfunction. J Urol 160:1321–1324

    Article  PubMed  CAS  Google Scholar 

  • Vale JA, Feneley MR, Lees WR, Kirby RS (1995) Venous leak surgery: long-term follow-up of patients undergoing excision and ligation of the deep dorsal vein of the penis. Br J Urol 76:192–195

    Article  PubMed  CAS  Google Scholar 

  • Valji K, Bookstein JJ (1993) Diagnosis of arteriogenic impotence: efficacy of duplex sonography as a screening tool. AJR Am J Roentgenol 160:65–69

    PubMed  CAS  Google Scholar 

  • Virag R, Sussman H (1998) [Exploration of the deep dorsal vein of the penis using pulsed Doppler ultrasonography. Preliminary study]. J Mal Vasc 23:195–198

    PubMed  CAS  Google Scholar 

  • Wegner HE, Andresen R, Knispel HH et al (1995) Evaluation of penile arteries with color-coded duplex sonography: prevalence and possible therapeutic implications of connections between dorsal and cavernous arteries in impotent men. J Urol 153:1469–1471

    Article  PubMed  CAS  Google Scholar 

  • Wespes E, Raviv G, Vanegas JP et al (1998) Corporeal venoocclusive dysfunction: a distal arterial pathology? J Urol 160:2054–2057

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, University Hospital S. Orsola-Malpighi, Via Massarenti 9, Bologna, 40138, Italy

    Pietro Pavlica MD, Massimo Valentino MD & Libero Barozzi MD

Authors
  1. Pietro Pavlica MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Massimo Valentino MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Libero Barozzi MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department Radiology, University of Trieste, Ospedale di Cattinara, Strada di Fiume 447, Trieste, 34124, Italy

    Michele Bertolotto MD

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Pavlica, P., Valentino, M., Barozzi, L. (2008). US Evaluation of Erectile Dysfunction. In: Bertolotto, M. (eds) Color Doppler US of the Penis. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-36677-5_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-36677-5_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-36676-8

  • Online ISBN: 978-3-540-36677-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation