Abstract
We have performed cavernosography and cavernosometry in more than 400 impotent patients and in 10 normal volunteers. In patients without abnormal venous leakage, intracavernosal infusion at a flow rate of 80–140 ml/min produces a complete rigid erection with an intracavernous pressure greater than 90 mm Hg; 25–50 ml/min is necessary to maintain the erection. Abnormal venous leakage is characterized by the absence of erection without a significant increase in intracavernous pressure under the maximum standardized perfusion rate of 140 ml/min. Cavernosography provides good morphologic studies of the cavernous bodies and the penile venous network, but must always be associated with flow rate measurement and intracavernous pressure monitoring for reliable assessment of venous leakage.
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References
Ginestie JF, Romieu A (1976) L'exploration radiologique de l'impuissance. Maloine S.A., Paris
Michal V, Pospichal J (1977) Phalloarteriography in the diagnosis of erectile impotence. World J Surg 2: 233–248
Struyven J, Gregoir W, Giannakopoulos X, Wauters E (1979) Selective pudendal arteriography. Eur Urol 5: 233–242
Delcour C, Wespes E, Brion JP, Schulman CC, Struyven J (1983) Explorations artérielles et veineuse de l'impuissance d'origine vasculaire. Ann Urol 17: 356–359
Bookstein JJ, Valji K, Parsons L, Kessler W (1987) Pharmacoarteriography in the evaluation of impotence. J Urol 137: 333–337
Virag R, Spencer PP, Frydman D (1984) Artificial erection in diagnosis and treatment of impotence. Urology 24: 157–161
Delcour C, Wespes E, Schulman CC, Struyven J (1984) Investigation of the venous system in impotence of vascular origin. Urol Radiol 6: 190–193
Newman HF, Reiss H (1984) Artificial perfusion in impotence. Urology 24: 469–472
Puyau FA, Lewis RW (1983) Corpus cavernosography: Pressure, flow and radiography. Invest Radiol 18: 517–522
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
Delcour C, Wespes E, Vandenbosch G, Schulman CC, Struyven J (1986) Impotence: Evaluation with cavernosography. Radiology 161: 803–806
Wespes E, Delcour C, Struyven J, Schulman CC (1984) Cavernometry-cavernography: Its role in organic impotence. Eur Urol 10: 229–232
Bookstein JJ, Valji K, Parsons LC, Kessler WO (1987) Penile pharmacocavernosography. J Urol 137: 772–776
Fitzpatrick TJ, Cooper JF (1975) A cavernosogram study on the valvular competence of the human deep dorsal vein. J Urol 113: 497–499
Fitzpatrick TJ (1974) Venography of the deep dorsal venous and valvular system. J Urol 111: 518–520
Fitzpatrick TJ (1975) The corpus cavernosum intercommunicating venous drainage system. J Urol 113: 494–496
Puyau FA, Lewis RW, Balkin P, Kaack MB, Hirsch A (1987) Dynamic corpus cavernosography: Effect on papaverine injection. Radiology 164: 179–182
Bookstein JJ (1987) Cavernosal venoocclusive insufficiency in male impotence: Evaluation of degree and location. Radiology 164: 175–178
Porst H, Van Ahlen H, Vahlensieck W (1987) Relevance of dynamic cavernosography to the diagnosis of venous incompetence in erectile dysfunction. J Urol 137: 1163–1167
Virag R (1982) Intracavernous injection of papaverine for erectile failure. Lancet 2: 938
Pilla TJ, Beshany SE, Schields JB (1986) Incompatibility of Hexabrix and papaverine. AJR 146: 1300–1301
Delcour C (1986) Incompatibility of Hexabrix and papaverine (letter). AJR 147: 1096
Delcour C, Wespes E, Vandenbosch G, Schulman CC, Struyven J (in press) Opacification of the glans penis during cavernosography. J. Urol
Buvat J, Lemaire A, Dehaene JL, Buvat-Herbaut M, Guieu JD (1986) Venous incompetence: Critical study of the organic basis of high maintenance flow rates during artificial erection test. J Urol 135: 926–928
Lue TF, Takamura T, Umraiya M, Schmidt RA, Tanagho EA (1984) Hemodynamics of canine corpora cavernosa during erection. Urology 24: 347–352
Lue TF, Takamura T, Schmidt RA, Palubinskas AJ, Tanagho EA (1987) Hemodynamics of erection in the monkey. J Urol 137: 829–836
Fournier GR, Juenemann KP, Lue TF, Tanagho EA (1987) Mechanisms of venous occlusion during canine penile erection: An automatic demonstration. J Urol 137: 163–167
Lue TF, Tanagho EA (1987) Physiology of erection and pharmacological management of impotence. J Urol 137: 829–836
Tudoriu T, Bourmer H (1983) The hemodynamics of erection at the level of the penis and its local deterioration. J Urol 129: 741–745
Tudoriu T (1987) Dynamic cavernosography: Venous outflow studies of cavernous bodies (letter). J Urol 137: 316
Wagner G, Uhrenholdt A (1980) Blood flow measurement by the clearance method in the human corpus cavernosum in the flaccid and erect state. In Zorgniotti A, Ross G (ed): Vasculogenic impotence. Proc 1st Conf on Corpus Cavernosum Revascularization. Charles C. Thomas, Springfield, Illinois, pp 41–46
Wagner G (1981) Erection physiology and endocrinology. In Wagner G, Green R (eds). Impotence physiological. Surgical diagnosis and treatment. Plenum Press, New York, pp 25–36
Juenemann KP, Lue TF, Fournier GR, Tanagho EA (1986) Hemodynamics of papaverine- and phentolamine-induced penile erection. J Urol 136: 158–161
Juenemann KP, Luo JA, Lue TF, Tanagho EA (1986) Further evidence of venous outflow restriction during erection. Br J Urol 58: 230–324
Delcour C, Wespes E, Vandenbosch G, Schulman CC, Struyven J (1987) Effect of papaverine on arterial and venous hemodynamics of erection. J Urol 138: 187–189
Buvat J, Buvat-Herbaut M, Dehaene JL, Lemaire A (1986) Is intracavernous injection of papaverine a reliable screening test for vascular impotence. J Urol 135: 476–478
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Delcour, C., Struyven, J. Techniques for performing cavernosometry and cavernosography. Cardiovasc Intervent Radiol 11, 211–217 (1988). https://doi.org/10.1007/BF02577005
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DOI: https://doi.org/10.1007/BF02577005