Erectile dysfunction (ED): Inability to achieve or maintain erection
Etiologies are numerous and can include psychologic, arterial, venous, neurogenic, or endocrinologic factors
Penile Doppler: Sonographic evaluation of common etiologies of ED after direct injection of prostaglandin mixture into corpora cavernosa
Peyronie disease (PD): Abnormal curvature of penis typically with associated plaque, oftentimes causing sexual dysfunction
Plaques often form on tunica albuginea or corpora cavernosa
Fibrosis can also occur in septum and within corpora itself
Vast majority of plaques occur on dorsal surface of penis
Nearly 1/2 of plaques occur in distal 1/3 of penis
Can cause painful erections
Can cause shortening of penis
Uncertain etiology with possibilities including repetitive microtrauma, collagen vascular disease, and advancing age
Very rarely spontaneously regresses
IMAGING
General Features
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Gupta N et al: Penile Doppler ultrasound predicting cardiovascular disease in men with erectile dysfunction. Curr Urol Rep. 16(3):16, 2015
Chung E et al: Penile Doppler sonographic and clinical characteristics in Peyronie's disease and/or erectile dysfunction: an analysis of 1500 men with male sexual dysfunction. BJU Int. 110(8):1201-5, 2012
Kalokairinou K et al: US imaging in Peyronie's disease. J Clin Imaging Sci. 2:63, 2012
Patel DV et al: Investigation of erectile dysfunction. Br J Radiol. 85 Spec No 1:S69-78, 2012
Bertolotto M et al: Painful penile induration: imaging findings and management. Radiographics. 29(2):477-93, 2009
Halls J et al: Erectile dysfunction: the role of penile Doppler ultrasound in diagnosis. Abdom Imaging. 34(6):712-25, 2009
Prando D: New sonographic aspects of peyronie disease. J Ultrasound Med. 28(2):217-32, 2009
Hakim LS: Peyronie's disease: an update. The role of diagnostics. Int J Impot Res. 14(5):321-3, 2002
Kim SH: Doppler US evaluation of erectile dysfunction. Abdom Imaging. 27(5):578-87, 2002
Fitzgerald SW et al: Color Doppler sonography in the evaluation of erectile dysfunction. Radiographics. 12(1):3-17; discussion 18-9, 1992
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
Erectile dysfunction (ED): Inability to achieve or maintain erection
Etiologies are numerous and can include psychologic, arterial, venous, neurogenic, or endocrinologic factors
Penile Doppler: Sonographic evaluation of common etiologies of ED after direct injection of prostaglandin mixture into corpora cavernosa
Peyronie disease (PD): Abnormal curvature of penis typically with associated plaque, oftentimes causing sexual dysfunction
Plaques often form on tunica albuginea or corpora cavernosa
Fibrosis can also occur in septum and within corpora itself
Vast majority of plaques occur on dorsal surface of penis
Nearly 1/2 of plaques occur in distal 1/3 of penis
Can cause painful erections
Can cause shortening of penis
Uncertain etiology with possibilities including repetitive microtrauma, collagen vascular disease, and advancing age
Very rarely spontaneously regresses
IMAGING
General Features
Ultrasonographic Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Gupta N et al: Penile Doppler ultrasound predicting cardiovascular disease in men with erectile dysfunction. Curr Urol Rep. 16(3):16, 2015
Chung E et al: Penile Doppler sonographic and clinical characteristics in Peyronie's disease and/or erectile dysfunction: an analysis of 1500 men with male sexual dysfunction. BJU Int. 110(8):1201-5, 2012
Kalokairinou K et al: US imaging in Peyronie's disease. J Clin Imaging Sci. 2:63, 2012
Patel DV et al: Investigation of erectile dysfunction. Br J Radiol. 85 Spec No 1:S69-78, 2012
Bertolotto M et al: Painful penile induration: imaging findings and management. Radiographics. 29(2):477-93, 2009
Halls J et al: Erectile dysfunction: the role of penile Doppler ultrasound in diagnosis. Abdom Imaging. 34(6):712-25, 2009
Prando D: New sonographic aspects of peyronie disease. J Ultrasound Med. 28(2):217-32, 2009
Hakim LS: Peyronie's disease: an update. The role of diagnostics. Int J Impot Res. 14(5):321-3, 2002
Kim SH: Doppler US evaluation of erectile dysfunction. Abdom Imaging. 27(5):578-87, 2002
Fitzgerald SW et al: Color Doppler sonography in the evaluation of erectile dysfunction. Radiographics. 12(1):3-17; discussion 18-9, 1992
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