COLOR – CODED DUPLEX SONOGRAPHY VERSUS CAVERNOSOMETRY IN DIAGNOSIS OF VENO-OCCLUSIVE ERECTILE DYSFUNCTION

Abstract

Impotence is one of the most common sexual problem that affect men in different decades of life. Today it is believed that vasculogenic erectile failure is one of the most frequent causes of organic impotence. Vasculogenic impotence may be due either to poor arterial inflow into the penis (arteriogenic) or to excessive venous leakage. The evaluation of impotence must begin with sexual, psychological and medical history, physical examination and routine laboratory tests, then several specific tests are done to evaluate penile vascular supply. Duplex sonography and cavernosometry are used to evaluate both penile arterial and venous network to demonstrate the exact etiology in patients suffering from vasculogenic impotence. Our work aimed to evaluate color duplex sonography itdiagnosis of vena­ occlusive erectile dysfunction in comparison to cavernosometry. This work was conducted on thirty impotent patients, their age ranged from 24 to74 years (mean 40.6 ± 11.6 years) and their complain ranged from 6 to 60 months (mean 25.6 ± 33.9 months). They were selected after exclusion of endocrinological and neurological causes of erectile dysfunction and they were subjected to: 1- Full clinical examination. 2- Office intracavernosal injection test (OUT) with vasoactive drugs. 3- Color-coded duplex sonography examination of the penis. 4- Re-dosing dynamic infusion pharmacocavemosometry.