Doppler Evaluation of Erectile Dysfunction – Part 2

Peyronie's Disease

Peyronie's disease is a localized continuative paper physiological state of the penis involving the tunica albuginea and erectile body part and is characterized by the manufacturing of fibrous body part plaques within the tunica albuginea, causing the penis to angulate towards the inelastic scar paper on hard-on.

Peyronie's disease is caused owing to many different factors, however, hurt to the erect or semierect penis is the flight feather initiating constituent of fleck constitution. Patients gift with painful hard-on, penile affliction and palpable plaques in the penis.

Ultrasonography has a role in the assessment of Peyronie's disease and it may demonstrate the comportment and point of fibrotic plaques and hardening. Sonographic findings include hyperechoic inspissation of the tunica albuginea with or without chemical action (Figure 3). Ability Doppler sonography can reveal hyperperfusion around the plaques as a sign of firing in the chemical agent province of the disease.

Perceptual experience 3.  (click effigy to zoom)

Peyronie's disease. Transverse (a) and longitudinal (b) gray-scale imaging images of the penis demonstrate a fibrous patch (arrows) appearing as a hyperechoic band in the tunica albuginea.      

It is well recognized that many men with Peyronie's disease have coexistent ED, and the pathophysiological factors include both arteriogenic insufficiency and veno-occlusive dysfunction, in constituent to psychogenic factors and issues relating to the disfigurement itself. If a man with Peyronie's disease has a normal sexual arousal, then either a angular shape or a grafting package is undertaken, whereas in men with coexistent ED, the choices lie between a penile implant and the reconstructive procedures listed above, together with either viagra or intracavernosal injections.

14.1.08 10:48

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