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Penile colour duplex ultrasonography as a screening tool for venogenic erectile dysfunction.
Ann Acad Med Singap. 2002 Mar; 31(2):165-9.AA

Abstract

INTRODUCTION

Vasculogenic impotence is one of the major causes of erectile dysfunction. Cavernosometry and cavernosography is traditionally the gold standard for evaluation of venogenic impotence. However, it is invasive and there are potentially significant complications. Penile colour flow Doppler imaging (PCDI) is non-invasive and can be used to assess venous incompetence.

MATERIALS AND METHODS

One hundred and sixty-eight patients were referred for PCDI assessment from March 1998 to February 2001. Forty-three of these also had cavernosogram and cavernosometry done and were included in the study.

RESULTS

The sensitivity was 93.9%, the specificity was 90.0%, the accuracy was 93.0% with a negative predictive value of 81.8% and a positive predictive value of 96.9%. Kappa value of 0.81 was obtained, indicating excellent agreement between PCDI and cavernosogram and cavernometry.

CONCLUSIONS

Penile colour flow Doppler imaging is accurate in the assessment of venogenic erectile dysfunction. It can replace cavernometry and cavernosogram as a screening tool. Cavernometry and cavernosogram should only be done in cases when PCDI suggests venogenic impotence, and when surgery is contemplated.

Authors+Show Affiliations

Department of Radiology, Changi General Hospital, 2, Simei Street 3, Singapore 529889. cyber.xray@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11957552

Citation

Teh, H S., et al. "Penile Colour Duplex Ultrasonography as a Screening Tool for Venogenic Erectile Dysfunction." Annals of the Academy of Medicine, Singapore, vol. 31, no. 2, 2002, pp. 165-9.
Teh HS, Lin MB, Tsou IY, et al. Penile colour duplex ultrasonography as a screening tool for venogenic erectile dysfunction. Ann Acad Med Singap. 2002;31(2):165-9.
Teh, H. S., Lin, M. B., Tsou, I. Y., Khoo, T. K., Lim, P. H., Ng, F. C., Chin, C. M., Peh, S. O., Ho, S. H., Ng, K. K., & Fong, Y. K. (2002). Penile colour duplex ultrasonography as a screening tool for venogenic erectile dysfunction. Annals of the Academy of Medicine, Singapore, 31(2), 165-9.
Teh HS, et al. Penile Colour Duplex Ultrasonography as a Screening Tool for Venogenic Erectile Dysfunction. Ann Acad Med Singap. 2002;31(2):165-9. PubMed PMID: 11957552.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Penile colour duplex ultrasonography as a screening tool for venogenic erectile dysfunction. AU - Teh,H S, AU - Lin,M B K, AU - Tsou,I Y Y, AU - Khoo,T K, AU - Lim,P H C, AU - Ng,F C, AU - Chin,C M, AU - Peh,S O H, AU - Ho,S H, AU - Ng,K K, AU - Fong,Y K, PY - 2002/4/18/pubmed PY - 2002/10/11/medline PY - 2002/4/18/entrez SP - 165 EP - 9 JF - Annals of the Academy of Medicine, Singapore JO - Ann Acad Med Singap VL - 31 IS - 2 N2 - INTRODUCTION: Vasculogenic impotence is one of the major causes of erectile dysfunction. Cavernosometry and cavernosography is traditionally the gold standard for evaluation of venogenic impotence. However, it is invasive and there are potentially significant complications. Penile colour flow Doppler imaging (PCDI) is non-invasive and can be used to assess venous incompetence. MATERIALS AND METHODS: One hundred and sixty-eight patients were referred for PCDI assessment from March 1998 to February 2001. Forty-three of these also had cavernosogram and cavernosometry done and were included in the study. RESULTS: The sensitivity was 93.9%, the specificity was 90.0%, the accuracy was 93.0% with a negative predictive value of 81.8% and a positive predictive value of 96.9%. Kappa value of 0.81 was obtained, indicating excellent agreement between PCDI and cavernosogram and cavernometry. CONCLUSIONS: Penile colour flow Doppler imaging is accurate in the assessment of venogenic erectile dysfunction. It can replace cavernometry and cavernosogram as a screening tool. Cavernometry and cavernosogram should only be done in cases when PCDI suggests venogenic impotence, and when surgery is contemplated. SN - 0304-4602 UR - https://www.unboundmedicine.com/medline/citation/11957552/Penile_colour_duplex_ultrasonography_as_a_screening_tool_for_venogenic_erectile_dysfunction_ L2 - https://www.diseaseinfosearch.org/result/9682 DB - PRIME DP - Unbound Medicine ER -