The efficacy of penile duplex ultrasound in erectile dysfunction management decision-making : facing the opinion leader
Cocci, Andrea (University of human health sciences of Florence)
Pezzoli, Marta (University of human health sciences of Florence)
Re, Mattia Lo (University of human health sciences of Florence)
Ralph, David (St. Peter's Andrology Centre)
Christopher, Nim (St. Peter's Andrology Centre)
Osmonov, Daniar (University Medical Center Schleswig-Holstein)
Bettocchi, Carlo (University of Foggia)
Djinovic, Rados (Center for Genito-Urinary Reconstructive Surgery)
Antonini, Gabriele (Antonini Urology)
Levine, Laurence (Rush University Medical Center)
Martínez Salamanca, Juan Ignacio (Hospital Universitario Puerta de Hierro Majadahonda (Madrid))
Romero Otero, Javier (Hospital 12 de Octubre (Madrid))
Egydio, Paulo (Egydio Medical Center)
Moncada Iribarren, Ignacio (Hospital Sanitas La Zarzuela)
Hatzichristodoulou, Georgios ('Martha-Maria' Hospital Nuremberg)
Perito, Paul (Perito Urology)
Antoine, Faix (Clinique Saint-Roch)
Park, Hyun Jun (Medical Research Institute of Pusan National University Hospital)
Rolle, Luigi (Molinette University Hospital)
Kadıoğlu, Ateş (Istanbul University İstanbul School of Medicine)
Ruiz-Castañé, Eduardo (Institut de Recerca Sant Pau)
Renterghem, Koenraad Van (Jessa Ziekenhuis)
Valenzuela, Robert J. (Icahn School of Medicine at Mount Sinai (Nova York, Estats Units d'Amèrica))
Wilson, Steven K. (Institute for Urologic Excellence)
Tomada, Nuno (Hospital da Luz Arrábida)
Capece, Marco (University of Naples Federico II)
Falcone, Marco (Molinette University Hospital)
Universitat Autònoma de Barcelona

Data:	2024
Resum:	Erectile dysfunction (ED) poses a significant challenge in clinical practice, necessitating accurate diagnostic strategies to distinguish between organic and psychogenic causes. Current guidelines advocate a comprehensive approach involving medical history, physical examination and blood tests, with second-level analyses like the intracavernous injection of vasoactive drugs (ICI test) and penile duplex ultrasound (PDU) reserved for specific cases. A survey involving 24 urologists experienced in ED was conducted to assess their opinions on the appropriateness of the ICI test and PDU in six clinical scenarios. Results were analyzed using pie charts, revealing varied preferences among experts. The responses indicated diverse viewpoints, with preferences for the ICI test or PDU depending on the patient's age, comorbidities, response to phosphodiesterase type 5 inhibitors (PDE5i) and concomitant Peyronie's disease. In some cases, a significant proportion of experts opted for neither test. The study highlights the lack of consensus among experts regarding the routine use of PDU in ED management. Despite its diagnostic capabilities, the clinical utility of PDU remains unclear, and its role may be more justified in certain populations with anatomical abnormalities or specific conditions. The need for rigorous research to determine the impact of PDU on ED management decision-making is emphasized.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Erectile dysfunction ; Penile duplex ultrasound ; Intracavernous injection
Publicat a:	Journal of Men's Health, Vol. 20 Núm. 6 (june 2024) , p. 8-11, ISSN 1875-6859

DOI: 10.22514/jomh.2024.084

4 p, 3.1 MB

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