Color Doppler US of the Penis by Lorenzo E. Derchi (auth.), Michele Bertolotto MD (eds.)

By Lorenzo E. Derchi (auth.), Michele Bertolotto MD (eds.)

This publication presents a complete reference and sensible consultant at the program people to penile ailments and stipulations. After introductory chapters on technical specifications and penile anatomy, next chapters supply a scientific review of the varied functions of colour Doppler US. the themes lined comprise erectile disorder, Peyronie’s ailment, priapism, trauma, tumors, the postoperative penis, irritation, and fibrosis. every one subject is brought through a medical evaluation with the aim of clarifying the issues and elucidating what the urologist might anticipate from colour Doppler US. Thereafter, functionality of the U.S. examine is defined and the pathological anatomy reviewed. fine quality pictures bought with high-end US gear are incorporated. each one bankruptcy additionally features a part at the diagnostic details supplied by way of different imaging modalities, and particularly MRI.

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Eur Urol 36:123–128 Fitzgerald SW, Erickson SJ, Foley WD et al (1991) Color Doppler sonography in the evaluation of erectile dysfunction: patterns of temporal response to papaverine. AJR Am J Roentgenol 157:331–336 Gotta SF, Kassaniou S, Kokoua A, Gnanazan NG (2003) [Anatomic study of arterial and venous cavernospongious shunt in the human penis: surgical fi ndings]. Ann Urol (Paris) 37:135–139 Hsu GL, Hsieh CH, Wen HS et al (2003) Penile venous anatomy: an additional description and its clinical implication.

B Phase 1. Increased systolic and diastolic flow. c Phase 2. Dicrotic notch appearance at end systole and progressive decrease of the diastolic flow. d Phase 3. End diastolic flow disappearance. e Phase 4. Diastolic flow reversal. f Phase 5. Reduction of the systolic peak during rigid erection e f 36 M. Bertolotto et al. gin of the helicine arterioles reduces, and diastolic velocity declines to 0. During cavernosal phase 5 helicine arterioles disappear. 5 Cavernosal-Spongiosal Communications Also in these vessels characteristic changes are recognized reflecting waveform changes within the cavernosal arteries (Bertolotto et al.

P. Pavlica, MD; M. Valentino, MD; L. Barozzi, MD Department of Radiology, University Hospital S. 2 Preliminary Clinical Assessment Prior to instrumental or invasive procedures, patient-reported assessment should be performed. Patient self report, administered questionnaires, event logs or simple patient diaries are commonly used for the diagnosis of erectile dysfunction (Rosen et al. 2006). 1) can be used to measure the erectile function (Rosen et al. 1997). It simplifies the preliminary assessment and can help to evaluate and define the cause of the erectile dysfunction and identify the underlying vascular issue.

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