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KMID : 0377519930180040523
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Chung-Ang Journal of Medicine
1993 Volume.18 No. 4 p.523 ~ p.0
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Reevaluation of Selective Internal Pudendal Arteriography in Diagnosis of Arteriogenic Impotence.
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정세열
심형진/이종범/송인섭/류대식/김영구/김양수/이용철
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Abstract
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For the evaluation of role of internal pudendal arteriogram in arteriogenic impotence, 70 selective arteriograms of 35 suspected postraumatic impotence patients were analyzed and compared to results of penile bracial index (PBI), duplex
ultrasonograms
of cavernosal artery and cavernosal artery systolic occlusion pressure(CASOP).
The results of selective internal pudendal arteriography(SIPA) were classified as 44 cases with normal vascular findings and 26 with abnormal findings. Between two group, there was no significant difference in peak velocity and diameter of
cavernosal
artery in duplex ultrasonograms, in pressure difference between systonc pressure brachial artery and CASOP, and in PBI. These results are also true even in cases with nonvisualization of cavernosal artery casued by complete occlusion of internal
pudendal artery.
In conclusion, selective pudendal arteriogram is the only one reliable study for the evaluation of arteriogenic impotence, although further study is needed to define the role of other noninvasive approaches.
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