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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Radiologic Approach to Erectile Dysfunction. Main causes, diagnosis and therapeutic options in interventional radiology
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<blockquote data-quote="madman" data-source="post: 144674" data-attributes="member: 13851"><p><span style="font-size: 26px"><strong>Findings and procedure details</strong></span></p><p></p><p></p><p></p><p>[ATTACH=full]7199[/ATTACH]</p><p><strong>Fig. 6</strong>: Normal anatomy of penis. CC: Corpora cavernosa. CE: Corpus spongiosum. Arrowheads: Tunica Albuginea. Stars: Cavernosal arteries. Arrow: Buck's fascia.</p><p><strong><em>References: </em></strong>Radiology, Hospital Fundación Jiménez Díaz, Hospital Universitario Fundación Jiménez díaz - Madrid/ES </p><p></p><p></p><p>[ATTACH=full]7200[/ATTACH]</p><p><strong>Fig. 7</strong>: Schematic view of arterial vascularization of the penis. The dorsal artery of penis, cavernosal arteries and urethral artery are brancehs of the internal pudendal artery (IPA).</p><p><strong><em>References: </em></strong>Philip F, Shishebor MH. Current State of Endovascular Treatment for Vasculogenic Erectile Dysfunction.Curr Cardiol Rep (2013) 15:360.</p><p></p><p></p><p>[ATTACH=full]7201[/ATTACH]</p><p><strong>Fig. 8</strong>: Vascular Anatomy of penis.</p><p><strong><em>References: </em></strong>Baxter GM and Sidhu PS. Ultrasound of the Urogenital System. Thieme, Stuttgart, 2006, Ch. 12. </p><p></p><p></p><p>[ATTACH=full]7202[/ATTACH]</p><p><strong>Fig. 9</strong>: PGE-1 Stimulated CDUS of penis in Erectile Dysfunction Tecnique. Left: Injection of 20 micrograms of PGE-1 with 30 needle inside the corpora cavernosa. Right: Colour flow Doppler ultrasound of the cavernosal arteries should be performed with the probe positioned at the base of the penis on the ventral surface. The angle for Doppler analysis needs to be optimised (<60°) with box-steering, angle correction and orientation of the probe to ensure reproducible, valid measurements.</p><p><strong><em>References: </em></strong>Berrkhim BM. Doppler Duplex Ultrasonography of the Penis. J Sex Med 2016;13:726e731 </p><p></p><p></p><p>[ATTACH=full]7203[/ATTACH]</p><p><strong>Fig. 10</strong>: CDUS of right cavernosal artery before injection of PGE-1. Artery diameter less than 1 mm and PSV <10 cm/s.</p><p><strong><em>References: </em></strong>Radiology, Hospital Fundación Jiménez Díaz, Hospital Universitario Fundación Jiménez díaz - Madrid/ES</p></blockquote><p></p>
[QUOTE="madman, post: 144674, member: 13851"] [SIZE=26px][B]Findings and procedure details[/B][/SIZE] [ATTACH=full]7199[/ATTACH] [B]Fig. 6[/B]: Normal anatomy of penis. CC: Corpora cavernosa. CE: Corpus spongiosum. Arrowheads: Tunica Albuginea. Stars: Cavernosal arteries. Arrow: Buck's fascia. [B][I]References: [/I][/B]Radiology, Hospital Fundación Jiménez Díaz, Hospital Universitario Fundación Jiménez díaz - Madrid/ES [ATTACH=full]7200[/ATTACH] [B]Fig. 7[/B]: Schematic view of arterial vascularization of the penis. The dorsal artery of penis, cavernosal arteries and urethral artery are brancehs of the internal pudendal artery (IPA). [B][I]References: [/I][/B]Philip F, Shishebor MH. Current State of Endovascular Treatment for Vasculogenic Erectile Dysfunction.Curr Cardiol Rep (2013) 15:360. [ATTACH=full]7201[/ATTACH] [B]Fig. 8[/B]: Vascular Anatomy of penis. [B][I]References: [/I][/B]Baxter GM and Sidhu PS. Ultrasound of the Urogenital System. Thieme, Stuttgart, 2006, Ch. 12. [ATTACH=full]7202[/ATTACH] [B]Fig. 9[/B]: PGE-1 Stimulated CDUS of penis in Erectile Dysfunction Tecnique. Left: Injection of 20 micrograms of PGE-1 with 30 needle inside the corpora cavernosa. Right: Colour flow Doppler ultrasound of the cavernosal arteries should be performed with the probe positioned at the base of the penis on the ventral surface. The angle for Doppler analysis needs to be optimised (<60°) with box-steering, angle correction and orientation of the probe to ensure reproducible, valid measurements. [B][I]References: [/I][/B]Berrkhim BM. Doppler Duplex Ultrasonography of the Penis. J Sex Med 2016;13:726e731 [ATTACH=full]7203[/ATTACH] [B]Fig. 10[/B]: CDUS of right cavernosal artery before injection of PGE-1. Artery diameter less than 1 mm and PSV <10 cm/s. [B][I]References: [/I][/B]Radiology, Hospital Fundación Jiménez Díaz, Hospital Universitario Fundación Jiménez díaz - Madrid/ES [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Radiologic Approach to Erectile Dysfunction. Main causes, diagnosis and therapeutic options in interventional radiology
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