Comprehensive Assessment of Cavernosography with 320-row Dynamic Volume CT Versus Conventional Cavernosography in Erectile Dysfunction Patients Caused by Venous Leakage

Overview

Journal Biosci Rep

Specialty Cell Biology

Date 2017 Apr 21

PMID 28424371

Citations 4

Authors

Cheng-Cheng Xu

Yu-Ning Pan

Yi-Fan Tang

Jie Zhang

Guo-Yao Wang

Qiu-Li Huang

Affiliations

Soon will be listed here.

Abstract

The present study aims to investigate and compare the diagnostic and prognostic value of cavernosography with 320-row dynamic volume computed tomography (DVCT) versus conventional cavernosography in men with erectile dysfunction (ED) caused by venous leakage. A total of 174 patients diagnosed with ED were enrolled and received cavernosography with 320-row DVCT (DVCT group) and conventional cavernosography scans (control group) respectively. The diagnosis, complications, and prognosis of patients were evaluated. The DVCT group provided high-resolution images with less processing and testing time, as well as lowered radiological agent and contrast agent compared with the control group. In the DVCT group, 89 patients who were diagnosed with venous ED had six various venous leakage, namely superficial venous leakage, profundus venous leakage, the mixed type, cavernosal venous leakage, crural venous leakage, and also venous leakage between the penis and urethra cavernosum (9, 21, 32, 6, 18, and 3 cases respectively). Similarly, 74 patients out of the 81 who suffered from venous ED were classified to have superficial venous leakage (11), profundus venous leakage (14), the mixed type venous leakage (26), and middle venous leakage (23). Six out of 25 patients in the DVCT group, had improvements in ED while the remaining 19 achieved full erectile function recovery with no penile fibrosis and erectile pain. Cavernosography with 320-row DVCT is a reliable system that can be used to diagnose ED caused by venous leakage. This is especially useful in accurately determining the type of venous and allows for a better prognosis and direction of treatment.

Citing Articles

Erectile dysfunction: role of computed tomography cavernosography in the diagnosis and treatment planning of venous leak.

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Intracavernosal pressure of the erect penis in children with hypospadias.

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PMID: 37898654 DOI: 10.1038/s41443-023-00788-0.

Advances in physical diagnosis and treatment of male erectile dysfunction.

Pang K, Pan D, Xu H, Ma Y, Wang J, Xu P Front Physiol. 2023; 13:1096741.

PMID: 36699684 PMC: 9868413. DOI: 10.3389/fphys.2022.1096741.

Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction.

Hallerstrom M, von Stempel C, Raheem A, Walkden M BMJ Case Rep. 2018; 2018.

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