(O-02) WAVERING PATTERN OF ERECTION AS A CLINICAL MANIFESTATION OF DORSAL VENOUS LEAKS OF THE PENIS

Abstract

The present study wants to evaluate the frequency of sudden loss of erection in patients possibly affected by penile congenital dorsal venous leaks, using a structured questionnaire to identify the so-called wavering pattern of erection, to refine the diagnosis. and indicate the need for other diagnostic tests such as doppler ultrasound or CavernoCT to identify such leaks. In a group of 60 patients with confirmed ultrasound diagnosis of penile dorsal venous leak, a structured questionnaire of five questions was systematically administered about situations that led to loss of erection, including the following 5 items: Changes in position, external distractions, change from feet to lying down or vice versa, condom use and loss of erection during masturbation. Patients with at least four positive items were considered to comply with the so-called hesitant pattern of erection. It was found that in this group with ultrasound leaks, 81.6% of the patients fulfilled at least 4/5 items of the questionnaire and 18.3% with 3 or less. The most frequent question answered positively was “Changes of position” (91.6%), followed by “External distractions” (86.6%), third “loss of erection during masturbation” (83.4%), fourth “changes from lying to standing or vice versa” (80%) and the fifth “loss of erection with condom use” (66.6%). It is considered that the systematic performance of some key questions in patients under 40 years of age who consult for erectile dysfunction can guide an underlying diagnosis of congenital venous leaks that should be verified with adequate diagnostic images and whose use as a valid instrument requires verification additional. erectile dysfunction, vasculogenic impotence, penile diseases, penile veins. No conflict.