Altinbas Namik Kemal, Hamidi Nurullah
Department of Radiology, Faculty of Medicine, Ankara University, Ankara, Turkey.
Atatürk Training and Research Hospital, Urology, Ankara, Turkey.
Pol J Radiol. 2018 Dec 3;83:e491-e499. doi: 10.5114/pjr.2018.80301. eCollection 2018.
To evaluate the relationship between erection grade, erectile function score, Doppler ultrasonography (US) indexes, and elasticity score (ES) according to Doppler US diagnosis in patients with erectile dysfunction (ED).
Real-time strain type penile elastography was performed during penile Doppler US examination for 88 patients with ED. The diagnosis according to Doppler US was determined. Erection score according to the Erection Hardness Grading Scale was evaluated. A scoring for erectile function was performed with the International Index of Erectile Function (IIEF-5), and the Sexual Health Inventory for Men (SHIM) was defined. The relationships, according to Doppler diagnosis, of ES, IIEF-5 score, SHIM scale, and erection score were evaluated.
Among the patients, 50 (57%) had abnormal penile Doppler US findings. According to Doppler US findings, patients were classified as normal ( = 38), borderline for arterial insufficiency ( = 4), arterial insufficiency ( = 5), and venous insufficiency ( = 41). The lowest erection hardness grades and IIEF-5 scores were detected in patients with arterial failure. When compared to the normal group, in terms of ES, the arterial failure borderline group and venous failure group had lower scores, and the arterial failure group had a higher score. However, the only significant difference was obtained in the left cavernous body of the venous failure group.
Sonoelastography seems to add additional value for determination of stiffness of the penile cavernous body in routine evaluation of ED.
根据多普勒超声诊断评估勃起功能障碍（ED）患者的勃起分级、勃起功能评分、多普勒超声（US）指标与弹性评分（ES）之间的关系。
对88例ED患者进行阴茎多普勒超声检查时，同时进行实时应变型阴茎弹性成像。根据多普勒超声确定诊断。根据勃起硬度分级量表评估勃起评分。使用国际勃起功能指数（IIEF-5）进行勃起功能评分，并定义男性性健康量表（SHIM）。评估根据多普勒诊断得出的ES、IIEF-5评分、SHIM量表和勃起评分之间的关系。
在这些患者中，50例（57%）阴茎多普勒超声检查结果异常。根据多普勒超声检查结果，患者被分为正常（n = 38）、动脉供血不足临界（n = 4）、动脉供血不足（n = 5）和静脉漏（n = 41）。动脉供血不足患者的勃起硬度分级和IIEF-5评分最低。与正常组相比，在ES方面，动脉供血不足临界组和静脉漏组得分较低，而动脉供血不足组得分较高。然而，仅在静脉漏组的左侧海绵体中获得了显著差异。
在ED的常规评估中，超声弹性成像似乎为确定阴茎海绵体的硬度增加了额外价值。
