Color Doppler in Evaluation of Erectile Dysfunction and its Diagnostic Value
INTRODUCTION: Erectile dysfunction (ED) is primarily vascular disease, which can be diagnosed with the Color Doppler ultrasonography, and using vasoactive medication (locally PgE1 and general Sildenafil citrate) this state can be treated. GOAL: To answer the question of which color Doppler technique used by urologist can reveal and evaluate treatment of the erectile dysfunction, and create clinically applicable diagnostic and treatment protocol for erectile dysfunction. RESEARCH METHOD: Testing of patients with erectile dysfunction is completed with color Doppler exam with application of pharmacology testing. Ultrasonic color Doppler is screening of blood flow in corpora cavernosa performed with linear probe of 3.5 Mhz and 7.5 MHz („Aloka“ 1700) with examination in flaccid phase of the penis and transversal scanning of the dorsal, cavernous arteries and corpus cavernosus. RESULTS AND DISCUSSION: Color- Doppler testing is performed on a group of 60 patients: 30 patients are treated with local application of Caverject in form of intracavernous injection (ICI) and 30 patients are tested with Sildenafil citrate. Also we had control group of 30 patients with psychological ED. Statistical tests pplied in the analysis of our results show significance in sensitivity in application of color Doppler diagnostic technology compared to classic ultrasonography urology technique and in diagnosis and therapy of the erectile disorders, especially of vascular genesis. This confirmed our work hypothesis of this research.