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© 2007 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 26:1643-1648 • 0278-4297

A Sign of Arteriogenic Insufficiency on Penile Doppler Sonography

Retrograde Flow in Penile Cavernosal-Spongiosal Communications

Ulas Savas Yavas, MD, Cuneyt Calisir, MD, Tamer Kaya, MD and Nevbahar Akcar Degirmenci, MD

Department of Radiology, Medical Faculty, Eskisehir Osmangazi University, Eskisehir, Turkey.

Address correspondence to Cuneyt Calisir, MD, Department of Radiology, Medical Faculty, Eskisehir Osmangazi University, Meselik, 26480 Eskisehir, Turkey. E-mail: cuneytcalisir_72{at}yahoo.com

Objective. The purpose of this study was to evaluate the diagnostic usefulness of determining retrograde flow in the penile cavernosal-spongiosal communications (CSCs) with Doppler sonography. Methods. Thirty-two consecutive men with erectile dysfunction (mean age, 40 years; range, 19–61 years) underwent penile color Doppler sonography. All patients were evaluated for flow direction in the CSCs. Results. Eight of the 32 patients had normal Doppler sonographic findings; 8 had signs of veno-occlusive dysfunction; and 16 had arterial insufficiency. Doppler sonographic examinations of the patients with normal Doppler sonographic findings (100%) and veno-occlusive dysfunction (100%) showed a normal direction of flow in the CSCs. Thirteen of the 16 patients with arterial insufficiency had a normal direction of flow in the CSCs; however, reversal of the flow direction in the CSCs (from the urethral artery back to the cavernosal artery) was observed in the remaining 3 patients. Conclusions. Investigating the direction of flow in the cavernosal artery, CSCs, and urethral artery is not time-consuming and may help establish an accurate diagnosis of arteriogenic impotence, especially in patients with borderline peak systolic flow velocity values.

Key Words: Doppler sonography • impotence • sonography • vasculogenic

Abbreviations: CSC, cavernosal-spongiosal communication • ED, erectile dysfunction • IIEF, International Index of Erectile Function • PSV, peak systolic flow velocity

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Copyright © 2007 by the American Institute of Ultrasound in Medicine.