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Title: | The efficacy of penile duplex ultrasound in erectile dysfunction management decision-making: facing the opinion leader | Authors: | Cocci, Andrea Pezzoli, Marta Lo Re, Mattia Ralph, David Christopher, Nim Osmonov, Daniar Bettocchi, Carlo Djinovic, Rados Antonini, Gabriele Levine, Laurence Salamanca, Juan Ignacio Martinez Otero, Javier Romero Egydio, Paulo Iribarren, Ignacio Moncada Hatzichristodoulou, Georgios Perito, Paul Antoine, Faix Park, Hyun Jun Rolle, Luigi Kadioglu, Ates Ruiz-Castane, Eduard VAN RENTERGHEM, Koenraad Valenzuela, Robert J. Wilson, Steven K. Tomada, Nuno Capece, Marco Falcone, Marco |
Issue Date: | 2024 | Publisher: | MRE PRESS | Source: | Journal of men's health (Print), 20 (6) , p. 8 -11 | Abstract: | 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. | Notes: | Cocci, A (corresponding author), Univ Human Hlth Sci Florence, I-50134 Florence, Italy. andrea.cocci@unifi.it |
Keywords: | Erectile dysfunction;Penile duplex ultrasound;Intracavernous injection | Document URI: | http://hdl.handle.net/1942/43412 | ISSN: | 1875-6867 | e-ISSN: | 1875-6859 | DOI: | 10.22514/jomh.2024.084 | ISI #: | 001262678400002 | Rights: | 2024 The Author(s). Published by MRE Press. This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/). | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
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JOMH2023122801.pdf | Published version | 3.21 MB | Adobe PDF | View/Open |
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