Surgery Today

, Volume 36, Issue 3, pp 257–261 | Cite as

Automated Bedside Measurement of Penile Blood Flow Using Pulse-Volume Plethysmography

  • Naoki Unno
  • Kazunori Inuzuka
  • Hiroshi Mitsuoka
  • Kei Ishimaru
  • Daisuke Sagara
  • Hiroyuki Konno
Article

Abstract

Purpose

To evaluate the efficiency of the form PWV/ABI (pulse wave velocity/ankle brachial pressure index) for measuring penile blood pressure (PBP) and the penile brachial pressure index (PBI).

Methods

We measured PBP and the PBI using both form PWV/ABI and Doppler ultrasonography in 40 men with surgical disorders.

Results

By using pulse-volume recording, the form PWV/ABI can simultaneously measure PBP and bilateral brachial artery pressure, and calculate the PBI automatically. The data obtained showed strong correlations with those obtained by the conventional Doppler ultrasound technique. Moreover, measurements were completed within 5 min at the bedside and the data were stored in the device's memory.

Conclusion

The form PWV/ABI is a useful tool for assessing pelvic hemodynamics and diagnosing vasculogenic impotence.

Key words

Impotence Form PWV/ABI Plethysmography Pelvic hemodynamics Internal iliac artery 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Queral, LA, Whitehause, WM,Jr, Flinn, WR, Zarins, CK, Bergan, JJ, Yao, JST 1979Pelvic hemodynamics after aorto-iliac reconstructionSurgery86799809PubMedGoogle Scholar
  2. 2.
    Kawai, M 1988Pelvic hemodynamics before and after aortoiliac vascular reconstruction: the significance of penile blood pressureJpn J Surg1851420PubMedGoogle Scholar
  3. 3.
    Jevtich, M 1980Impotence of penile arterial pulse sound examinationJ Urol1248204PubMedGoogle Scholar
  4. 4.
    Lin, PH, Bush, RL, Chaikof, EL, Chen, C, Conklin, B, Terramani, TT,  et al. 2002A prospective evaluation of hypogastric artery embolization in endovascular aortoiliac aneurysm repairJ Vasc Surg365006CrossRefPubMedGoogle Scholar
  5. 5.
    Ruzbarsky, V, Michal, V 1977Morphologic chances of the arterial bed of the penis with agingInvest Urol151949PubMedGoogle Scholar
  6. 6.
    Metz, P 1987Arteriogenic erectile impotenceDan Med Bull3313450Google Scholar
  7. 7.
    Broderick, GA 1998Evidence based assessment of erectile dysfunctionInt J Impot Res10S6473PubMedGoogle Scholar
  8. 8.
    Morley, JE, Korenman, SG, Kaiser, FE, Mooradian, AD, Viosca, SP 1988Relationship of penile brachial pressure index to myocardial infarction and cerebrovascular accidents in older menAm J Med844458PubMedGoogle Scholar
  9. 9.
    Kedia, KR 1983Penile plethysmography useful in diagnosis of vasculogenic impotenceUrology222359CrossRefPubMedGoogle Scholar
  10. 10.
    DePalma, RG, Emsellem, HA, Edwards, CM, Druy, EM, Shultz, SW, Miller, HC,  et al. 1987A screening sequence for vasculogenic impotenceJ Vasc Surg522836CrossRefPubMedGoogle Scholar
  11. 11.
    Yanagi, S, Kotake, T, Yamaguchi, K, Ito, H 1990Role of pulse volume recording in the evaluation of penile blood flow (in Japanese)Nippon Hinyokika Zasshi8115137Google Scholar
  12. 12.
    Lavoisier, P, Barbe, R, Gally, M 2002Validation of a continuous penile blood-flow measurement by pulse-volume-plethysmographyInt J Impot Res1411620CrossRefPubMedGoogle Scholar
  13. 13.
    Kempczinski, RF 1979Role of vascular diagnostic laboratory in evaluation of male impotenceAm J Surg13827882CrossRefPubMedGoogle Scholar
  14. 14.
    Chiu, RC-J, Lidstone, D, Blundell, PE 1986Predictive power of penile/brachial index in diagnosing male sexual impotenceJ Vasc Surg42516CrossRefPubMedGoogle Scholar
  15. 15.
    Wyers, MC, Schermerhorn, ML, Fillinger, MF, Powell, RJ, Rzucidlo, EM, Walsh, DB,  et al. 2002Internal iliac occlusion without coil embolization during endovascular abdominal aortic aneurysm repairJ Vasc Surg36113845CrossRefPubMedGoogle Scholar
  16. 16.
    Geraghty, RJ, Sanchez, LA, Rubin, BG, Choi, ET, Flye, MW, Curci, JA,  et al. 2004Overt ischemic colitis after endovascular repair of aortoiliac aneurysmsJ Vasc Surg404138CrossRefPubMedGoogle Scholar
  17. 17.
    Maldonado, TS, Rockman, CB, Riles, E, Douglas, D, Adelman, MA, Jacobowitz, GR,  et al. 2004Ischemic complications after endovascular abdominal aortic aneurysm repairJ Vasc Surg4070310CrossRefPubMedGoogle Scholar
  18. 18.
    Ernst, CB 1983Prevention of intestinal ischemia following abdominal aortic reconstructionSurgery931026PubMedGoogle Scholar
  19. 19.
    Sugano, N, Inoue, Y, Iwai, T 2003Evaluation of buttock claudication with hypogastric artery stump pressure measurement and near infrared spectroscopy after abdominal aortic aneurysm repairEur J Vasc Endovasc Surg264551CrossRefPubMedGoogle Scholar
  20. 20.
    Faries, PL, Morrissey, N, Burks, JA, Gravereaux, E, Kerstein, MD, Teodorescu, VJ,  et al. 2001Internal iliac artery revascularization as an adjunct to endovascular repair of aortoiliac aneurysmsJ Vasc Surg348929CrossRefPubMedGoogle Scholar
  21. 21.
    Bergamini, TM, Rachel, ES, Kinney, EV, Jung, MT, Kaebnick, HW, Mitchell, RA 2002External iliac artery-to-internal iliac artery endograft: a novel approach to preserve pelvic inflow in aortoiliac stent graftingJ Vasc Surg351204PubMedGoogle Scholar
  22. 22.
    Arko, FR, Lee, WA, Hill, BB, Fogarty, TJ, Zarins, CK 2004Hypogastric artery bypass to preserve pelvis circulation: improved outcome after endovascular abdominal aortic aneurysm repairJ Vasc Surg394048CrossRefPubMedGoogle Scholar
  23. 23.
    Nakamura, U, Iwase, M, Nohara, S, Kanai, H, Ichikawa, K, Iida, M 2003Usefulness of brachial-ankle pulse wave velocity measurement: correlation with abdominal aortic calcificationHypertens Res261637PubMedGoogle Scholar
  24. 24.
    Fujiwara, T, Saitoh, S, Takagi, S, Ohnishi, H, Ohata, J, Takeuchi, H,  et al. 2004Prevalence of asymptomatic arteriosclerosis obliterans and its relationship with risk factors in inhabitants of rural communities in Japan: Tanno-Sobetsu studyAtherosclerosis177838CrossRefPubMedGoogle Scholar
  25. 25.
    Koji, Y, Tomiyama, H, Ichihashi, H, Nagae, T, Tanaka, N, Takazawa, K,  et al. 2004Comparison of ankle-brachial pressure index and pulse wave velocity as markers of the presence of coronary artery disease in subjects with a high risk of atherosclerotic cardiovascular diseaseAm J Cardiol9486872CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 2006

Authors and Affiliations

  • Naoki Unno
    • 1
    • 2
  • Kazunori Inuzuka
    • 1
    • 2
  • Hiroshi Mitsuoka
    • 1
    • 2
  • Kei Ishimaru
    • 1
    • 2
  • Daisuke Sagara
    • 1
    • 2
  • Hiroyuki Konno
    • 2
  1. 1.Division of Vascular SurgeryHamamatsu University School of MedicineHamamatsuJapan
  2. 2.Second Department of SurgeryHamamatsu University School of MedicineHamamatsuJapan

Personalised recommendations