Erektil disfonksiyonlu diabetes mellitus olgularında penil Doppler ultrasonografi bulguları

Namık Kemal Altınbaş; Nurullah Hamidi; Cemil Yağcı

doi:10.19161/etd.399242

EN TR

Penile Doppler ultrasound findings in diabetic patients with erectile dysfunction

Abstract

Aim: To evaluate the correlation between penile Doppler ultrasound (US) findings and erectile function scoring test in patients with diabetes mellitus requested penile Doppler US examination and suffering from erectile dysfunction.

Materials and Methods: Twenty-seven patients who underwent penile Doppler US were recruited to this prospective study. Penile blood flow following intracavernosal papaverine injection using Doppler US was evaluated in the ultrasound unit. The peak systolic velocity and end-diastolic velocity were recorded and the diagnosis according to Doppler US was determined. Erection score according to Erection Hardness Grading Scale was evaluated, which ranked the scores from 1 to 4. A scoring for erectile function was performed with the International Index of Erectile Function (IIEF-5), and the Sexual Health Inventory for Men (SHIM) was defined. Doppler US findings were compared with SHIM scales.

Results: There were a total of 27 patients with a mean age of 55.74±9.02 (39-70) years. Among these patients, 21 (78%) had abnormal penile Doppler US findings. According to Doppler US findings, patients were classified as normal (n=6), borderline for arterial insufficiency (n=2), arterial insufficiency (n=5), and venous insufficiency (n=14). No complications were detected in any of the patients due to penile Doppler US evaluation. Erection was not completely enough except in 2 patients. The lowest erection hardness and the lowest IIEF-5 scores were detected in the patients with arterial problems.

Conclusion: The rate of vascular problems in diabetic men with erectile dysfunction is high and venous insufficiency was found to be more often in our study.

Keywords

Diabetes mellitus,erectile dysfunction,IIEF-5 questionnaire,penile Doppler US

Erektil disfonksiyonlu diabetes mellitus olgularında penil Doppler ultrasonografi bulguları

Öz

Amaç: Penil Doppler ultrasonografi (US) incelemesi istenen erektil disfonksiyon şikayeti bulunan diabetes mellitus tanılı hastalarda US bulgularının erektil fonksiyon skorlama testi ile karşılaştırılarak değerlendirilmesi amaçlandı.

Gereç ve Yöntem: Penil Doppler US incelemesi yapılan 27 hasta prospektif yürütülen bu çalışmaya dahil edildi. Hastalara US ünitesinde, penil kavernöz cisme papaverin enjeksiyonunu takiben Doppler US yapılarak penil kan akımı değerlendirildi. Pik sistolik akım hızı, diyastol sonu hız kaydedilerek Doppler US tanısı belirlendi. Ereksiyon düzeyi, ereksiyon sertlik derecelendirme skalasına göre 4 puan üzerinden değerlendirildi. Erektil fonksiyon için IIEF-5 (erektil fonksiyon uluslararası indeksi) anketi ile skorlama yapıldı ve SHIM (erkekler için seksüel sağlık envanteri) seviyesi belirlendi. Elde edilen Doppler US tanıları ile SHIM seviyeleri karşılaştırıldı.

Bulgular: Çalışma dahilinde 27 hasta mevcuttu. Hastaların yaş ortalaması 55.74±9.02 (aralık 39-70) idi. Hastaların 21’inde (%78) anormal penil Doppler US bulguları elde edildi. Hastalar Doppler US bulgularına göre normal (n=6), arteriyel yetmezlik için sınırda (n=2), arteriyel yetmezlik (n=5) ve venöz yetmezlik (n=14) olarak sınıflandırıldı. Penil Doppler incelemesine bağlı olarak hiçbir hastada komplikasyon gelişmedi. Ereksiyon sertliği iki hasta hariç diğerlerinde tam düzeyde değildi. En düşük ereksiyon sertlikleri ve IIEF-5 skorları arteriyel problem durumunda gözlendi.

Sonuç: Erektil disfonksiyon şikayeti bulunan diabetes mellitus tanılı hastalarda vasküler problem oranı yüksektir ve çalışmamızda özellikle venöz yetmezlik daha sık olarak gözlenmiştir.

Anahtar Kelimeler

Diabetes mellitus,erektil disfonksiyon,IIEF-5 anketi,penil Doppler US

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Namık Kemal Altınbaş ^*
Ankara Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara
0000-0002-4548-9693
Türkiye

Nurullah Hamidi
Ankara Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Ankara
0000-0002-6825-1813
Türkiye

Cemil Yağcı
Ankara Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara
0000-0002-0400-0919
Türkiye

Yayımlanma Tarihi

1 Aralık 2017

Gönderilme Tarihi

24 Ekim 2016

Kabul Tarihi

11 Ocak 2017

Yayımlandığı Sayı

Yıl 2017 Cilt: 56 Sayı: 4

DOI

https://doi.org/10.19161/etd.399242

IZ

https://izlik.org/JA63WL77AC

Kaynak Göster

RIS / Bibtex

Vancouver

1.Namık Kemal Altınbaş, Nurullah Hamidi, Cemil Yağcı. Erektil disfonksiyonlu diabetes mellitus olgularında penil Doppler ultrasonografi bulguları. ETD. 01 Aralık 2017;56(4):193-9. doi:10.19161/etd.399242

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