The efficacy of penile duplex ultrasound in erectile dysfunction management decision-making: facing the opinion leader
Por:
Cocci, A, Pezzoli, M, Lo Re, M, Ralph, D, Christopher, N, Osmonov, D, Bettocchi, C, Djinovic, R, Antonini, G, Levine, L, Salamanca, JIM, Otero, JR, Egydio, P, Iribarren, IM, Hatzichristodoulou, G, Perito, P, Antoine, F, Park, HJ, Rolle, L, Kadioglu, A, Ruíz-Castañé, E, Van Renterghem, K, Valenzuela, RJ, Wilson, SK, Tomada, N, Capece, M, Falcone, M
Publicada:
1 jun 2024
Resumen:
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.
Filiaciones:
Cocci, A:
Univ Human Hlth Sci Florence, I-50134 Florence, Italy
Pezzoli, M:
Univ Human Hlth Sci Florence, I-50134 Florence, Italy
Lo Re, M:
Univ Human Hlth Sci Florence, I-50134 Florence, Italy
Ralph, D:
Univ Coll London Hosp NHS Fdn Trust, London NW1 2PG, England
St Peters Androl Ctr, London W1G 6AA, England
Christopher, N:
Univ Coll London Hosp NHS Fdn Trust, London NW1 2PG, England
St Peters Androl Ctr, London W1G 6AA, England
Osmonov, D:
Univ Med Ctr Schleswig Holstein, D-24105 Kiel, Germany
Bettocchi, C:
Univ Foggia, I-71122 Foggia, Italy
Djinovic, R:
Ctr Genito Urinary Reconstruct Surg, Belgrade RF254V, Serbia
Antonini, G:
Antonini Urol, I-00185 Rome, Italy
Levine, L:
Rush Univ, Med Ctr, Chicago, IL 60612 USA
Salamanca, JIM:
Puerta Hierro Majadahonda Univ Hosp, Madrid 28222, Spain
Otero, JR:
12 Octubre Univ Hosp, Madrid 28041, Spain
Egydio, P:
Egydio Med Ctr, BR-04552040 Sao Paulo, SP, Brazil
Iribarren, IM:
Hosp Sanitas Zarzuela, Madrid 28023, Spain
Hatzichristodoulou, G:
Martha Maria Hosp Nuremberg, D-90491 Nurnberg, Germany
Perito, P:
Perito Urol, Coral Gables, FL 33146 USA
Antoine, F:
Clin St Roch, F-34000 Montpellier, France
Park, HJ:
Pusan Natl Univ, Sch Med, Busan 49241, South Korea
Pusan Natl Univ Hosp, Med Res Inst, Busan 49241, South Korea
Rolle, L:
Molinette Univ Hosp, I-10126 Turin, Italy
Kadioglu, A:
Istanbul Univ, Istanbul Sch Med, TR-34093 Istanbul, Turkiye
Ruíz-Castañé, E:
Fundacio Puigvert, Barcelona 08025, Spain
Van Renterghem, K:
Jessa Ziekenhuis, B-3500 Hasselt, Belgium
Valenzuela, RJ:
Icahn Sch Med Mt Sinai, New York, NY 10029 USA
Wilson, SK:
Inst Urol Excellence, La Quinta, CA 92253 USA
Tomada, N:
Hosp Luz Arrabida, P-4400346 Porto, Portugal
Capece, M:
Univ Naples Federico II, I-80138 Naples, Italy
Falcone, M:
Molinette Univ Hosp, I-10126 Turin, Italy
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