Computed tomography cavernosography

  • How do you test for venous leakage?

    Proper diagnosis of venous leakage should include both color Doppler flow analysis and computed tomography cavernosography for adequate patient selection and treatment planning.
    Besides surgical ligation of penile draining veins, endovascular treatment methods may demonstrate more promising results..

  • What is cavernosography?

    Injection cavernosometry and cavernosography are invasive tests in which a vasoactive drug (e.g., prostaglandin) is injected directly into the body of the penis.
    The drugs work by stimulating the same hemodynamic changes as in normal erection..

  • What is endovascular treatment for ED?

    Minimally Invasive Endovascular Procedure for Vasculogenic Erectile Dysfunction.
    Angioplasty is a procedure in which the endovascular specialist repairs the dissected section of an artery by inflating a special balloon inside the artery to widen it..

  • What medication is used for venogenic impotence?

    ED medications like Viagra, Levitra, and Stendra work even if you are afflicted with venous leakage.
    PDE5 medications work by widening your blood vessels, allowing blood to flow in faster than it leaks out..

  • Minimally Invasive Endovascular Procedure for Vasculogenic Erectile Dysfunction.
    Angioplasty is a procedure in which the endovascular specialist repairs the dissected section of an artery by inflating a special balloon inside the artery to widen it.
  • Surgical Therapy
    The most commonly used surgical technique for penile revascularization is a bypass from the inferior epigastric artery to the dorsal artery or deep dorsal vein of the penis.
    Venous leak is the result of structural changes within erectile tissue.
  • Venous leak is an inability to maintain an erection in the presence of sufficient arterial blood flow through the cavernosal arteries of the penis.
    The defect lies in the excessive drainage of veins in the cavernosal tissue of the penis, which undermines normal erectile function.
This combined technique shows all the branches of penile veins and locates the origin of the crural vein, which will be ligated in the vascular surgery or an endovascular procedure. CT cavernosography can be used to select patients who would benefit from surgical or endovascular management.
A 20 gauge angiocatheter is inserted into the corpus cavernosum. 5cc of contrast media is injected via the cannula while the intracavernosal injection takes effect. After 5 minutes, a volume of contrast is injected via the angiocatheter such as to induce a maximal rigidity erection. A CT scan is then obtained.
Objective:: To observe the venous leakage of penile veins through cavernosometry and cavernosography, using CT combined with three-dimensional volume rendering.
This combined technique shows all the branches of penile veins and locates the origin of the crural vein, which will be ligated in the vascular surgery or an endovascular procedure. CT cavernosography can be used to select patients who would benefit from surgical or endovascular management.
This combined technique shows all the branches of penile veins and locates the origin of the crural vein, which will be ligated in the vascular surgery or anĀ  Abstractmethods and MaterialsResultsDiscussion

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