6533b86dfe1ef96bd12c96ac

RESEARCH PRODUCT

Comparison of selective internal iliac pharmaco-angiography, penile brachial index and duplex sonography with pulsed Doppler analysis for the evaluation of vasculogenic (arteriogenic) impotence.

Hubertus V. Wallenberg-pachalyHans H. SchildG. VogesStefan C. Mueller

subject

AdultMalemedicine.medical_specialtyBrachial ArteryUrologyHemodynamicsIntracavernous injectionBlood PressureIliac ArteryErectile Dysfunctionmedicine.arteryPapaverineOcclusionmedicineHumansInternal pudendal arteryAgedUltrasonographyPapaverinemedicine.diagnostic_testbusiness.industryPenile ErectionBlood Pressure DeterminationMiddle Agedmedicine.diseaseRadiographyStenosisErectile dysfunctionEvaluation Studies as TopicAngiographyRadiologybusinessmedicine.drugPenis

description

AbstractBetween July 1987 and February 1988 selective internal iliac angiography was performed before and after intracavernous injection of papaverine plus phentolamine in 43 patients with erectile dysfunction. In 63% of the patients stenosis or occlusion of the pudendal artery was found. The penile brachial index was calculated and duplex sonography with pulsed Doppler analysis was performed in 23 patients. Angiography and penile brachial index correlated in only 39% of the patients, whereas selective internal iliac angiography and duplex sonography correlated in 91% (21 of 23). In 2 patients duplex sonography with pulsed Doppler analysis rendered better information about penile arterial perfusion than did angiography. (J. Urol, 143: 928–932, 1990)

10.1016/s0022-5347(17)40140-6https://pubmed.ncbi.nlm.nih.gov/2184256