Original Research Article
Year: 2019 | Month: December | Volume: 6 | Issue: 12 | Pages: 471-475
A Study on Colour Doppler Sonography in Evaluation of Erectile Function- Our Experience in a Tertiary Healthcare Centre
Abhilasha S Jain1, Sharad R Jain2, Bhoomi M Modi1, Vaibhavi P Patel1, Pragya S Jain3
1Department of Radiology, Civil Hospital, Ahmedabad, Gujarat - 380016, India
2Department of Cardiology, UN Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat - 380016, India
3NHL Medical College, VS Hospital Ahmedabad, Gujarat - 380006, India
Corresponding Author: Abhilasha S Jain
ABSTRACT
Background: The study aims at studying the role of colour doppler sonography in evaluation of erectile function in patients referred for clinical impotency or as a part of medicolegal examination. It also aims at detecting the vasculogenic cause and classifying it into arteriogenic, venogenic or indeterminate results and thus helping the clinician in predicting the clinical outcome and deciding the therapeutic options. It also aims at screening the young patients with erectile dysfunction as a prognostic indicator for future cardiovascular events.
Methods: This is a cross-sectional single center (Civil Hospital, Ahmedabad) study done between July, 2017 and July, 2019 including 66 patients between 11 to 70 years. Patients were referred by urologists, physicians or surgeons. All patients had undergone colour doppler sonography after informed consent and results were interpreted based on spectral doppler indices.
Results: Among 66 patients, 42 % patients showed normal doppler findings, 24% arteriogenic, 23% venogenic and 8% with mixed/indeterminate results. Among 3 patients with peyronie’s disease, 1 patient showed arterial insufficiency. 1 patient was found to have intervascular shunting as a cause of arterial insufficiency. The incidence of vasculogenic cause of erectile dysfunction was found to be increased with age. We were able to plot the hemodynamic changes in different age groups with normal results and thus able to study the temporal evolution of erectile hemodynamics with age.
Conclusion: Colour doppler study is an important tool for evaluating the erectile function and thus guiding the clinicians for predicting the clinical outcome and choosing therapeutic options. Presence of vasculogenic erectile dysfunction should be considered an important medical condition and a prognostic indicator for future cardiovascular event.
Key words: Colour Doppler; erectile dysfunction
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