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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
- Plaques often form on tunica albuginea or corpora cavernosa
- Erectile dysfunction (ED): Inability to achieve or maintain erection
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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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
- Plaques often form on tunica albuginea or corpora cavernosa
- Erectile dysfunction (ED): Inability to achieve or maintain erection
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
