Khawaja Khurshid Ahmad, Muhammad Nawaz Anjum, Asim Shaukat, Muhammad Ali.
Role of Cavernosography in Erectile Dysfunction.
Pak J Radiol Jan ;15(3):43-8.

The patient, a middle aged man, had the history of unable to maintain erection for long enough. Clinically the patient was being investigated for erectile dysfunction and a strong suspicion was that the patient had venous abnormality. The patient was referred for Penile Color flow Doppler examination for erectile dysfunction. Doppler examination was done first while taking the cavernosal artery diameter and velocity in non erectile position , then Injection Caverjet given locally into the corpora cavernosa and the patient allowed to attain maximum erection, then the cavernosal arterial flow is taken and the velocities with correct angles are documented. The maximum arterial systolic velocity is taken and also the diastolic velocity and its flow direction and rate COLOR DOPPLER FINDINGS. First the diameter and velocity of cavernosal artery was taken in flaccid condition, then the local injection of Caverjet was given .The Doppler examination showed that the patient had attained normal required systolic velocity of 30cm/sec hence being ruled out of having arterial insufficiency. However the patients Doppler examination was significant for persistent forward diastolic flow in all phases which suggested Venous problem. On this the patient was labeled as having Venous leakage as a cause for his erectile dysfunction.


USER COMMENTS

what was the gold standard to compare the doppler findings with. Was the diagnosis supported by operative / pathological findings ?
Posted by: nukedoc on May 2004

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