Color doppler ultrasonography examination (CDUE)‎ vs dynamic infusion cavernosometry (DIE)‎ in diagnosis of venoocclusive erectile dysfunction

Abstract EN

Today it is believed that vasculogenic ED is one of the most frequent causes of organic ED.

It may be (arteriogenic) or venoocclusive or both.

DIC is considered as the gold standard in the diagnosis of venoocclusive dysfunction.

Although CDUE of erectile dysfunction patients provides reliable information on arterial inflow, its role in veno-occlusive dysfunction assessment is still a matter of controversy.

Aim of the Work.

To evaluate CDUE in the diagnosis of veno-occlusive erectile dysfunction in comparison to Die.

Methods: work was conducted on thirty impotent patients, (24-74 years) with (mean 40.6 ± 11.6 years) and their mean duration of complains (25.6 months).

all our patients underwent complete evaluation, sexual, psychological and medical history, physical examination and routine laboratory tests, then several specific tests are done to evaluate penile vascular supply.

Results: the study showed that the sensitivity of CDUE (95.5 %), specificity (62.5 %), PPV (87.5 %) and NPV (83.3 %) in comparison to cavernosometry for the diagnosis of venous leakage.

So CDUE is a good negative test and Die proved to be the test of choice to exclude false positive cases of veno-occlusive ED, should be restricted to whom suspected to have venoocclusive dysfunction by CDUE and plane to be surgically managed.

Conclusion: Impotent patients should first, be assessed with OUT, which is simple and very informative.

Suspected vasculogenic case should be additionally evaluated by CDUE to dctect pure arterial insufficiency and suspect venoocclusive dysfunction which finally confirmed or excluded by Die, the gold standard in the diagnosis of venoocclusive ED although, It is invasive, expensive and time consuming