Department of Urology, University of Miami, Miami, Florida.
Department of Urology, Cedars-Sanai, Los Angeles, California.
Curr Opin Urol. 2020 May;30(3):283-289. doi: 10.1097/MOU.0000000000000754.
Several imaging modalities exist for the assessment of Peyronie's disease. However, comprehensive recommendations for using these objective modalities based on large-scale evidence-based studies do not yet exist. Our objective is to evaluate current imaging techniques and provide a model that we follow in our clinic in the workup and management of Peyronie's disease.
Computed tomography and radiography excellently visualize penile plaque calcifications, and MRI adeptly identifies plaques in complex locations, such as the corporal septum. Ultrasonography has extensive applications in plaque localization and characterization. Used along with color Doppler ultrasound, it is capable of detecting vascular abnormalities. Sonoelastography is an emerging subtype of ultrasongraphy that utilizes elastic properties of tissue to identify penile plaques that may not be visualized with other modalities.
Ultrasonography is the preferred imaging modality in Peyronie's disease and noninvasively characterizes penile plaques and monitors plaque response to various treatments. At our center, we perform ultrasonography with intracavernosal injection in all patients with Peyronie's disease to evaluate the degree of curvature, plaque characteristics, and concomitant erectile dysfunction to better guide management decisions.
有几种影像学方法可用于评估 Peyronie 病。然而，基于大规模循证研究的这些客观方法的综合使用建议尚不存在。我们的目的是评估当前的成像技术，并提供我们在诊所中用于评估和管理 Peyronie 病的模型。
计算机断层扫描和射线照相术极好地显示了阴茎斑块的钙化，磁共振成像巧妙地识别了复杂位置（如阴茎隔）的斑块。超声在斑块定位和特征描述方面有广泛的应用。与彩色多普勒超声一起使用，它能够检测血管异常。超声弹性成像（sonoelastography）是超声的一种新兴亚型，它利用组织的弹性特性来识别其他方式可能无法显示的阴茎斑块。
超声是 Peyronie 病的首选影像学方法，可无创地对阴茎斑块进行特征描述，并监测斑块对各种治疗的反应。在我们中心，我们对所有 Peyronie 病患者进行超声检查，并联合阴茎海绵体内注射，以评估弯曲程度、斑块特征和伴随的勃起功能障碍，从而更好地指导管理决策。
