[Role of penile ultrasonography in erection deficit].

C Trombetta, F Pirozzi-Farina, S Siracusano, M Sanna, M Deriu, E Salisci, E Belgrano
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Abstract

The presence of penile nodule, curvature, disorders in blood flow to and from the corpora cavernosa is often correlated with organic sexual impotence. Echography allows to obtain a clear imaging of penile structures: diameters of corpora cavernosa can be measured before and after injection of vasoactive drugs. In our study penile structure were evaluated using a Combison 310 and a Toshiba with 7.5 MHz probe. In a lot of cases echography was repeated after intracavernous injection of PGE 1 or papaverine. The equipment needed for this evaluation is expensive but echography is undoubtedly less invasive than other equivalent examinations like cavernosography. Although the sensitivity and specificity of penile echography have not yet been clearly established this test is generally considered to be an useful and objective one. Penile echography is particularly usefull in discriminating between echogenic and not-echogenic nodules in case of Peyronie disease.

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[阴茎超声检查在勃起障碍中的作用]。
阴茎结节、弯曲、海绵体血流紊乱常与器质性阳痿有关。超声可以获得阴茎结构的清晰图像:在注射血管活性药物前后,可以测量海绵体的直径。在我们的研究中,使用Combison 310和东芝7.5 MHz探针评估阴茎结构。在海绵内注射pge1或罂粟碱后,许多病例重复超声检查。这种评估所需的设备很昂贵,但与海绵体造影等其他同类检查相比,超声检查的侵入性无疑更小。虽然阴茎超声的敏感性和特异性尚未明确建立,但该测试通常被认为是有用和客观的。阴茎超声在鉴别佩罗尼病的回声结节和非回声结节方面特别有用。
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