Comprehensive assessment of cavernosography with 320-row dynamic volume CT versus conventional cavernosography in erectile dysfunction patients caused by venous leakage

Xu, Chengcheng; Pan, Yuning; Tang, Yifan; Zhang, Jie; Wang, Guo-Yao; Huang, Qiuli

doi:10.1042/bsr20170112

Cited by 9 publications

(5 citation statements)

References 22 publications

(27 reference statements)

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“…The superior visualization of the complex venous draining system in a 3D-CT cavernosography before (Figure 1) and after sclerotherapy (Figure 2) was first described by Virag [7] and could be verified by Uhl [20] and Xu [48]. The picture in figure 1 describes the complex situation in venous leakage disease and the need for a more complex renovation of the situation.…”

Section: Basche Et Al Described a Technique Of Retrograde Embolisation Carried Out Via The Femoral Vein By Coaxial Technique Using Histoamentioning

confidence: 81%

Erectile dysfunction and caverno-venous leak disease

Herwig¹

2017

J Transl Sci

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Erectile dysfunction is an increasing issue, especially in young man. Whereas the current treatment strategies are mostly focused on older men, young patients are seeking more for a longer lasting or definitive solution, rather than a life-long medical treatment. Possibly, this is a reason why currently 70% of men with erectile dysfunction are not under treatment.This aspect becomes also a socioeconomic relevance, as this generation of patients can also be called the backbone of most societies. As a logical consequence the treatment strategies in different stages of life should be reviewed.Whereas various chronic disorders have been reported to be associated with elevated rates of ED including depression, diabetes, cardiovascular and neurological diseases in older men, the young generation is more suffering from vascular problems which affects the storage capacity of the penis.

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Section: Basche Et Al Described a Technique Of Retrograde Embolisation Carried Out Via The Femoral Vein By Coaxial Technique Using Histoamentioning

confidence: 81%

Erectile dysfunction and caverno-venous leak disease

Herwig¹

2017

J Transl Sci

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“…The superior visualization of the complex venous draining system in a 3D-CT cavernosography was first described by Virag and Paul [42] and could be verified by Ye et al [41], Uhl [43], Herwig et al [44][45][46], and Xu et al [47].…”

Section: Three-dimensional (3d) Computed Tomography (Ct) Cavernosographymentioning

confidence: 87%

Erectile Dysfunction Caused by Cavernous Leakage

Herwig¹

2022

Recent Advances in Male Reproductive System

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Erectile dysfunction (ED) is a big issue in various populations with up to 30% of young men suffering from this condition. Unfortunately, treatment schemes are currently mainly focused on elderly patients with chronic disorders. In younger patients, ED is more a vascular problem, which affects the storage capacity of the penis. The impact of penile blood supply on erectile function was recognized some 500 years ago. At the turn of the twentieth century, the first results of penile venous ligation were published. Simple isolated ligation of the deep dorsal vein in humans for ED due to venous leak is currently not recommended, due to some reported low long-term success rates. This was, as shown in several literature reports, obviously due to insufficient technical possibilities. Technical development in imaging and vascular and endovascular treatment have dramatically evolved our understanding of this underlying condition in the past 20 years and turned this disease into a long-term treatable condition. The current state-of-the-art work-up of the underlying condition, using the newest imaging technologies with color Doppler ultrasound and CT scan with additional three-dimensional reconstruction, is to show the surgeon exactly the points to focus on. Additionally, a so-called corporo-venous insufficiency can be recognized as a mainly combined condition, affecting peripheral and more proximal drainage pathways at the same time.

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“…Where there is a so called ‘venous-leak’, it can be difficult to confirm the diagnosis on imaging with cavernosography having variable reported sensitivity and specificity. In some published series, only 25%–50% had abnormal emissary vein(s) demonstrated on cavernosography,4–6 with others demonstrating abnormal veins in 80%7 and with advanced CT cavernosography up to 95% 8…”

Section: Discussionmentioning

confidence: 99%

Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction

Hallerstrom

Stempel²,

Raheem

et al. 2018

BMJ Case Reports

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A 59-year-old man with a 6-year history of erectile dysfunction presented to the andrology outpatient clinic. Multimodality assessment with ultrasound, MRI venography and fluoroscopic venography demonstrated an aberrant emissary vein arising from the corporal bodies causing venogenic erectile dysfunction. Selective coil embolisation of the collateral vein resulted in an almost immediate and sustained improvement in his erections.

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Comprehensive assessment of cavernosography with 320-row dynamic volume CT versus conventional cavernosography in erectile dysfunction patients caused by venous leakage

Cited by 9 publications

References 22 publications

Erectile dysfunction and caverno-venous leak disease

Erectile dysfunction and caverno-venous leak disease

Erectile Dysfunction Caused by Cavernous Leakage

Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction

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