[Comparative study of duplex Doppler ultrasonography and dynamic cavernosometry by infusion in the diagnosis of arteriogenic impotence]. 1996

I Moncada Iribarren, and J Jara Rascón, and E Lledó García, and F González Chamorro, and E Rodríguez Fernández, and C Hernández Fernández
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid.

The findings of duplex doppler ultrasonography (DDU) of cavernous arteries (CA) and of dynamic infusion cavernosometry in 61 patients who underwent both diagnostic procedures were examined. Our work consisted in comparing the blood flow velocity in the CAs during the systolic peak, as measured with DDU, with the gradient CA occlusion pressure/mean brachial blood pressure and in attempting to determine whether there was a correlation between both measurements and whether patients were similarly classified by both methods. The results of each examination separately were also compared with the response to isolated injection of intracavernous drugs (ICI). Of the 61 patients, 56 were eligible for the study as 5 patients were excluded owing to a massive venous leak. A 78.6% of the patients were categorized similarly by both diagnostic methods. The correlation coefficient between both methods for the 56 evaluable patients was R = -0.756, implying a statistically significant correlation between the two measurements (p < 0.0001). The sensitivity, specificity and predictive value of a positive test as regards the response to the ICI of vasoactive drugs in both diagnostic methods showed very similar values in our sample. We conclude that both methods--the Doppler Ultrasonography and the measurement of the occlusion pressure of the cavernous arteries--are equally valid for assessing the arterial function of the cavernous bodies in erection. If we consider that the erectile function of the penis consists in storing energy in the form of pressure and that this pressure is supplied by the cavernous arteries, from a physiological point of view, it is more consistent to measure the pressure in these arteries.

UI MeSH Term Description Entries
D007261 Infusions, Intra-Arterial Regional infusion of drugs via an arterial catheter. Often a pump is used to impel the drug through the catheter. Used in therapy of cancer, upper gastrointestinal hemorrhage, infection, and peripheral vascular disease. Infusions, Regional Arterial,Infusions, Intra Arterial,Infusions, Intraarterial,Arterial Infusion, Intra,Arterial Infusion, Regional,Arterial Infusions, Intra,Arterial Infusions, Regional,Infusion, Intra Arterial,Infusion, Intra-Arterial,Infusion, Intraarterial,Infusion, Regional Arterial,Intra Arterial Infusion,Intra Arterial Infusions,Intra-Arterial Infusion,Intra-Arterial Infusions,Intraarterial Infusion,Intraarterial Infusions,Regional Arterial Infusion,Regional Arterial Infusions
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010413 Penis The external reproductive organ of males. It is composed of a mass of erectile tissue enclosed in three cylindrical fibrous compartments. Two of the three compartments, the corpus cavernosa, are placed side-by-side along the upper part of the organ. The third compartment below, the corpus spongiosum, houses the urethra. Glans Penis,Penis, Glans
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D001783 Blood Flow Velocity A value equal to the total volume flow divided by the cross-sectional area of the vascular bed. Blood Flow Velocities,Flow Velocities, Blood,Flow Velocity, Blood,Velocities, Blood Flow,Velocity, Blood Flow
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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