Abstract
Purpose
The aim of this study is to measure the effects of penile revascularization on penile vascular hemodynamics and to determine the importance of resistive index in postoperative patient follow-up.
Methods
In this study A total of 35 patients were opereted. In the preoperative period and at the 3rd postoperative month, penile color doppler ultrasonography was performed to evaluate cavernosal arteries, dorsal arteries, deep dorsal vein and inferior epigastric artery separately. During this evaluation, peak systolic velocity, end diastolic velocity, and resistive index were measured. The International Index of Erectile Function questionnaire was applied in the preoperative period and at the 3rd postoperative month.
Results
The average preoperative resistive index values of the operated cases were determined as 0.74 ± 0.07/0.73 ± 0.09 cm/s for the right cavernosal artery and left cavernosal artery, respectively. The same values were found as 0.95 ± 0.09/0.96 ± 0.06 cm/s at the last postoperative control. The average International Index of Erectile Function − 5, 15 scores were determined as 8.52 ± 4.83, 19.4 ± 8.54, respectively, in the preoperative period, and 15.26 ± 4.50, and 35.76 ± 13.65, respectively, at the last postoperative follow-up.
Conclusion
This study showed that the resistive index can be used in the diagnosis of vascular originated erectile dysfunction and in the postoperative follow-up of the patients.
Trial registration number and date of registration:
NCT06350019 / 04/03/2024 (retrospectively registered)