CAT cavernosography with 3D reconstruction: a urological tool for the vascular diagnosis of erectile dysfunction of venous origin

CAT cavernosography with 3D reconstruction: a urological tool for the vascular diagnosis of erectile dysfunction of venous origin

Alejandro Fernández-Duque 1, Fernando Ortiz 2, Miguel Angarita 2, Juan F. Uribe-Arcila 3, Daniel Fernández-Mantilla 4

1 Departamento de Urología, Clínica de la mujer, Bogotá, Colombia; 2 Departamento de Radiología, Clínica de la mujer, Bogotá, Colombia; 3 Departamento de urología, Hospital Pablo Tobón, Medellín, Colombia; 4 Universidad de los Andes, Bogotá, Colombia

*Correspondence: Daniel Fernández-Mantilla. Email: danferman1999@gmail.com

Abstract

Objective: To describe the usefulness of computed tomography (CT) cavernosography of the penile venous vasculature for the diagnosis of erectile dysfunction of venous origin.

Method: Between 2017 and 2021 in the Radiology Service of the Women’s Clinic of Bogota, Colombia, 32 cavernosographies were performed as a radiological method for the vascular diagnosis of patients with erectile dysfunction and suspected venous leakage. The procedure was performed with a standardized method and the reading of the image was done using the classification of anomalous venous drainage by CT for the classification of venous leaks: type A, no leak; type B, deep venous system leak; type C, superficial venous system leak, and type D, leak in superficial and deep venous system.

Results: Thirty-two patients were diagnosed with venous insufficiency: type A two patients, type B leak three patients, type C leak four patients and type D leak 20 patients. In two patients after venous ligation surgery, neovascularization was found escaping and in one patient with Peyronie’s disease, superficial and deep venous leakage was found with lack of filling of the distal cavernous bodies.

Conclusion: The etiological diagnosis of erectile dysfunction should be a clinical objective to offer more specific and successful treatments. One of the potential diagnostic methods is the performance of CT cavernosography in selected patients, which allows a more detailed anatomically deep image of the venous drainage under a three-dimensional visualization like what would be seen in a surgical dissection.

Keywords: Erectile dysfunction; Venous leakage; Cavernosography; 3D reconstruction; Peyronie’s disease

Contents

English version not available. Please check the Spanish version.

⇄ Versión en Español
DOI not available
Add to Mendeley

Text only available in Spanish.

    PERMANYER

    Mallorca, 310
    08037 Barcelona (España)

    Arquímedes, 190 – Colonia Polanco
    Delegación Miguel Hidalgo
    11560 Ciudad de México (México)

    RECURRING LINKS
    CLOCKSS is a dak archive that ensures the long-term survival of web-based scholary publications, governed by and for its stakeholders.

    This journal adheres to the principles established by the Committee on Publication Ethics

    English versión
    DOI not available

    Editorial times

    The editorial process consists of 6 stages:

    1. Reception of the manuscript (indeterminate, depending on whether the author meets the requirements): its objective is to verify that the manuscript complies with the specifications of these instructions for authors and that the submitted documentation is complete.

    2. Initial editorial review (maximum 5 business days): its objective is to corroborate the relevance, timeliness, originality, and scientific contribution of the manuscript, as well as the methodological and statistical soundness of the study. At this time, it will be submitted to an electronic plagiarism detection system. Derived from this, a rejected opinion may be obtained, or it will be sent for review by peer researchers.

    3. Review by peer researchers (maximum 30 business days): the opinion of at least two experts in the area in question will be obtained, who will evaluate the technical and methodological aspects of the investigation.

    4. Editorial review (maximum 7 business days): its objective is to make a decision based on the opinion of peer reviewers. The opinion can be rejected, major changes, minor changes or accepted. In the case of major or minor changes, it will be submitted again for evaluation by the initial peer reviewers.

    5. Final edition (6 weeks): its objective is the technical and linguistic edition (and translation), layout of galleys, DOI assignment, and correction by the author.

    6. Advanced publication: All manuscripts will be published ahead of print on the journal’s website as soon as they complete the editing process, until they are incorporated into a final issue of the journal.