The role of Doppler ultrasound in the diagnosis of XXXX .

@entity1 @entity323 @entity455 @entity11539 @entity409 @entity9085 @entity731 @entity65 @entity165
OBJECTIVE: Many authors have demonstrated that @entity65 ( @entity65 ) and their related risk factors can predict @entity323 ( @entity323 ). The penile Doppler ultrasonography is a method to evaluate the cavernous blood flow in @entity1 with suspected @entity11539 . The goal of our study was to evaluate if @entity323 is associated to a @entity455 and which is the role of penile Doppler investigation. MATERIAL AND METHODS: 90 @entity1 (group 1) complaining @entity323 , but no symptoms of @entity65 were prospectively evaluated with penile Doppler ultrasound. The controls (group 2) were 45 apparently healthy subjects. Both groups were submitted to carotid and aortal-iliac Doppler ultrasonography. RESULTS: 50 @entity1 (mean age 60.5 +/- 4.6 years) in group 1 (IIEF < 15) and 45 subjects (mean age 59.5 +/- 4.6 years) in group 2 (IIEF > 15) were recruited. Mean age, height, LDL- @entity165 and blood pressure value were not statistically different (p = 0.417) between the two groups. Statistically significant differences were found in weight values (p = 0.016). Only 8 @entity1 (4%) were affected by @entity9085 and 42.1% by veno-occlusive mechanism insufficiency (p > 0.05). The cavernosal artery diameters were within 0.7 +/- 0.2 and 1.2 +/- 0.1 mm. All @entity1 with a diagnosis of @entity11539 of either arterial or venous origin were found asymptomatically affected by both a diffuse thickenings > 1 mm or a non hemodynamic plaque in the other vessels examined (carotid arteries or aorta or iliac arteries). DISCUSSION: Looking at our results, @entity323 is associated to diffuse thickness > 1 mm or with a non hemodynamic plaque of @entity731 origin in other vessels. These data confirm the theory that impotence has to be considered as a risk marker for @entity65 ( @entity65 ) in @entity1 with no cardiovascular symptoms. In our opinion, the penile echo Doppler is not able to show any @entity409 in terms of loss of mediator releasing. CONCLUSION: In case of suspect @entity11539 , even if penile Doppler is not pathological, it would be worth performing a systemic Doppler evaluation of main arteries in order to investigate the presence of @entity731 finding and institute a preventive therapy for @entity65 .
