Penil doppler ultrasonografi: Teknik ve yorumlama

Penil Doppler ultrasonografik görüntüleme ve beraberinde fonksiyonel değerlendirme için yapılan intrakavernozal enjeksiyon, ereksiyon hemodinamisinin objektif bir şekilde ölçülmesini sağlarken korporeal veno-oklüsiv disfoksiyon (VOD), arteriyel yetmezlik, penil arteriovenöz şantlar, kavernozal fibrozis ve Peyronie hastalığı tanısında kullanılmaktadır. Penil Doppler ultrasonun avantajı prosedürün minimal invaziv olması ve kavernöz arterlerin normal arteryel tepkisini tanımlamak için hastalarda tarama testi olarak kullanılabilmesidir. Peyronie hastalığı, tedaviye yanıtsız erektil disfonksiyon, pelvik travma veya penis şaft kırığı öyküsü olan hastalara, daha invaziv olan vasküler incelemelerden önce penil Doppler ultrason önerilmelidir. Yapana bağımlı bir teknik olduğundan oluşturulan protokollerin standardizasyonu gerekmektedir

Penile doppler ultrasonography: Techniques and interpretation

Penile Doppler ultrasonographic imaging and associated intracavernosal injection for functional evaluation provide objective measurement of erectile hemodynamics while it is used in the diagnosis of corporeal veno-occlusive dysfunction (VOD), arterial insufficiency, penile arteriovenous shunts, cavernosal fibrosis and Peyronie’s disease. The advantage of the penile Doppler ultrasound is that the procedure is minimally invasive and can be used as a screening test in patients to identify normal arterial response of the cavernous arteries. In Peyronie’s disease and to patients with erectile dysfunction unresponsive to treatment, Penile Doppler ultrasound should be offered before a history of pelvic trauma or fracture of the penile shaft or prior to more invasive vascular examinations. Since it is a technique dependent to the constructor, the established protocols should be standardized.

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