[Dynamic cavernosography. A proposed new method]

Radiol Med. 1989 Jul-Aug;78(1-2):69-73.
[Article in Italian]

Abstract

The excessive blood outflow from the corpora cavernosa during erection ("venous leakage") is a frequent cause of impotence. Dynamic cavernosography, a recent technique, is able to both evaluate such venous leakage and detect the veins concerned. After a critical review of the literature and on the basis of their own experience (64 cases), the authors suggest a 2-phase method. A conventional cavernosography is performed and flows of physiological solution necessary to induce and maintain an artificial erection are separately measured. Subsequently, only the patients with increased flow rates undergo a second angiography of the corpora cavernosa and drainage paths, after being given and intracavernous injection of papaverine. A simple, more rational and less invasive examination can thus be performed. All useful parameters can nevertheless be examined when surgical/radio-interventionist treatment is considered.

MeSH terms

  • Adolescent
  • Adult
  • Erectile Dysfunction / diagnostic imaging
  • Erectile Dysfunction / etiology
  • Erectile Dysfunction / physiopathology
  • Humans
  • Male
  • Methods
  • Middle Aged
  • Papaverine
  • Penile Erection* / drug effects
  • Penis / blood supply
  • Penis / diagnostic imaging*
  • Radiography
  • Regional Blood Flow / drug effects
  • Veins

Substances

  • Papaverine