Abstract
Objectives. To assess the hemodynamics of the cavernous arteries (CAs) and helicine arteries
(HAs) using power Doppler imaging (PDI) in patients with erectile dysfunction (ED).
Methods. Forty-two patients with and without a definite vascular component of ED were examined
by PDI. The hemodynamic variables of the CAs and HAs were measured after intracavernous
injection of 20 μg of prostaglandin E1.
Results. The CAs and HAs were visualized clearly and could be evaluated by PDI after prostaglandin
E1 injection in all patients. The hemodynamic variables of both the CAs and HAs differed
between the groups. In the nonvasculogenic group, all 18 patients had normal cavernous
arterial flow and achieved a full rigid erection. The mean peak systolic velocity
in the HA was 19.5 cm/s on the right and 19.1 cm/s on the left. In the vasculogenic
group, 43% of the 14 patients with normal cavernous arterial flow achieved a full
rigid erection and had hemodynamic variables comparable to those in the nonvasculogenic
group, but 57% failed to achieve a full rigid erection and their mean peak systolic
velocity in the HA (8.5 cm/s, P = 0.0065 on the right; and 7.0 cm/s, P = 0.0024 on the left) was lower than in the nonvasculogenic group. Ten patients had
reduced cavernous arterial flow and a full rigid erection could not be achieved. The
mean peak systolic velocity (7.8 cm/s, P = 0.0009 on the right; and 6.5 cm/s, P = 0.0004 on the left) was lower than in the nonvasculogenic group.
Conclusions. PDI is useful for evaluating the hemodynamics of the penile arterial system in patients
with ED. Our data suggest that abnormalities of the HA contribute to ED.
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Article info
Publication history
Accepted:
April 11,
2002
Received in revised form:
April 11,
2002
Received:
August 21,
2001
Identification
Copyright
© 2002 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
