Kim S C
Department of Urology, College of Medicine, Chung-Ang University, Seoul, Korea.
Asian J Androl. 1999 Jun;1(1-2):37-43.
Several dynamic tests with vasoactive drugs are available for evaluating penile vascular inflows and outflows, ranging from simple pharmacologic test to more invasive radiologic sets. However, there is still no perfect single test to reflect the penile vascular flow. All possible efforts should be exerted to get the greatest erectile effect to avoid an underestimation of blood flow to the corpora due to incomplete relaxation of the trabecular smooth muscle. Appreciation of the type and frequency of anatomical variations and potential collateral routes is important in interpreting penile arterograms and in evaluating the hemodynamic significance of suspected arterial disease. Choice of the vascular tests should always depend on the purpose of testing.
有几种使用血管活性药物的动态测试可用于评估阴茎的血管流入和流出情况,从简单的药理学测试到更具侵入性的放射学检查都有。然而,目前仍没有完美的单一测试来反映阴茎的血流情况。应尽一切可能努力获得最大的勃起效果,以避免因小梁平滑肌未完全松弛而低估海绵体的血流。了解解剖变异的类型和频率以及潜在的侧支循环途径,对于解释阴茎动脉造影和评估疑似动脉疾病的血流动力学意义很重要。血管测试的选择应始终取决于测试目的。