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The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
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Medical Radiology and Radiation Safety. 2018. Vol. 63. No. 1. P. 48-52
DIAGNOSTIC RADIOLOGY
DOI 10.12737/article_5a8550e615ff76.67951643
The Use of Radiographic Method of Investigation in the Preoperative Planning of Patients with Venogenic Erectile Dysfunction
P.S. Kyzlasov1, Yu.D. Udalov1, A.G. Martov1, A.N. Bashkov1, A.A. Kazhera1, E.A. Grin2, I.N. Orlov2, B.G. Kassymov3, M.V. Zabelin1
1. The Institute of Continuing Vocational Education of State Research Center of A.I. Burnazyan FMBC Moscow, Russia, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. ; 2. St. Luke Hospital, St. Peterburg, Russia; 3. National Scientific Medical Center, Astana, Kazakhstan.
P.S. Kyzlasov - PhD Med., Associate Prof.; Y.D. Udalov - PhD Med., Associate Prof.; A.G. Martov - Dr. Sc. Med., Prof., Head of Dep.; A.N. Bashkov - Head of Dep.; A.A. Kazhera - Clinical Resident; E.A. Grin - Urologist; I.N. Orlov - PhD Med., Head of Dep.;
B.G. Kassymov - Senior Resident; M.V. Zabelin - Dr. Sc. Med., Prof., Head of Dep.
Abstract
Purpose: To study the effectiveness of dynamic computer cavernosography at the stage of preoperative examination of patients with venogenic erectile dysfunction (ED).
Material and methods: 92 patients with venogenic erectile dysfunction were operated. Patients were divided into two groups depending on preoperative planning. Patients in group 1, pharma doppler sonography of the penis was used for preoperative planning. In group 2 - pharma doppler sonography of the penis and dynamic computer cavernosography were used. Resection of the deep dorsal vein of the penis was undergone in patients with proven distal type of shunt. A survey of patients was carried out before surgery and 12 months after surgical treatment according to the validated international rating scales of the erectile function.
Results: After preoperative planning and surgical treatment scores of erectile function in both groups changed. In both groups the proportion of patients with a severe degree of ED significantly decreased. The level of assessment of the quality of erection in group 1 remained almost the same, but 26 % of patients recorded a maximum score of 4. In group 2 the majority of patients (56 %) described their condition with a maximum score of 4 points. The assessment of quality of life using a scale of “QOL” after surgical treatment was described by patients in the following way: “excellent”: in group 1 and 3 %, in group 2 and 7 %; “good”: in group 1 - 34 %, group 2 - 63 %; “satisfactory”: 3 % in both groups; “poor”: in group 1 - 50 %, group 2 - 15 %. These data confirm that resection of the deep dorsal vein of the penis statistically significantly (p < 0.0001) improves the quality of life of patients with vein-occlusive mechanism of erectile dysfunction. However, in group 2 due to the proposed preoperative planning and pathophysiologically due to the definition of specific indications for surgical intervention we achieved the best estimates of quality of life (p = 0.0108).
Conclusion: Preoperative planning based on the application of dynamic computer cavernosography, provides a statistically significant (p = 0.0061) improvement of the results of resection of the deep dorsal vein of the penis in patients with vein-occlusive mechanism of ED.
Key words: vasculogenic erectile dysfunction, dynamic computer cavernosography, preoperative preparation, resection of the deep dorsal vein
REFERENCES
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For citation: Kyzlasov PS, Udalov YuD, Martov AG, Bashkov AN, Kazhera AA, Grin EA, Orlov IN, Kassymov BG, Zabelin MV. The Use of Radiographic Method of Investigation in the Preoperative Planning of Patients with Venogenic Erectile Dysfunction. Medical Radiology and Radiation Safety (Russia). 2018;63(1):48-52.
DOI: 10.12737/article_5a8550e615ff76.67951643. Russian.
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