OPPORTUNITIES OF ULTRASOUND DIAGNOSTICS OF АRTERIAL ERECTILE DYSFUNCTIONS IN MEN
Erectile dysfunction is an inability to reach and preserve erection good enough for sexual intercourse. The objective of the current study was to carry out a complex radiodiagnostics with the use of ultrasound techniques and Doppler methods with pharmacological loads (intracavernosal injections of 20 mcg Alprostadil) and visual stimulation and a resonant tomography (МРТ) to estimate their opportunities and to make a comparative analysis. 45 men have been examined. The control group included 10 volunteers at the age from 25 till 55, and the basic group consisted of 35 patient aged from 25 till 60 years with suspected arterial dysfunction. Duration of disease varied from 3 till 6 years. Risk factors for vasculogenic erectile dysfunctions (VED) among men of the basic group were arterial hypertension, system atherosclerosis, diabetes mellitus, penis traumas, hypoplasia of cavernous arteries. According to complex ultrasonic examination maximal sistole speeds decreased at pharmacological loads, high echogenicity areas up to 2 mm were visualized. МR-tomograms revealed Peyroni disease in 3 patients, anomalies of cavernous arteries in 3 men and venocorporal ED in 1 patient. Complex ultrasound investigation with the use of Doppler techniques is highly informative for diagnosing the causes of erectile dysfunction but MRI possesses higher resolution for soft tissues investigation.