使用阴茎横波弹性超声诊断佩罗尼氏病:一项前瞻性病例对照研究。

IF 2.4 3区 医学 Q2 ANDROLOGY
Francesco Trama, Ester Illiano, Fabrizio Iacono, Antonio Ruffo, Giovanni di Lauro, Achille Aveta, Felice Crocetto, Celeste Manfredi, Elisabetta Costantini
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引用次数: 2

摘要

背景:为了评估白膜(TA)的硬度,我们使用了一种新的无创诊断技术——横波弹性成像(SWE)。我们确定SWE值是否与阴茎弯曲程度、疾病发病时间和患者在勃起期间经历的疼痛严重程度相关。本研究分析了Peyronie病患者与对照组相比TA的弹性。我们还分析了海绵状体的硬度与弯曲程度、从诊断到弯曲发作的时间以及勃起疼痛严重程度之间的相关性。这是一项前瞻性病例对照研究,涉及2020年9月至2021年8月登记的100名男性。参与者被分为A组(病例组,n = 50),其中包括患有PD的男性,有或没有疼痛,阴茎弯曲,或B组(对照组,n = 50),其中包括18岁以上的健康患者,他们因PD以外的原因去泌尿科诊所就诊。收集所有患者的病史,并进行客观检查、b超评价和SWE。对所有参与者进行国际勃起功能指数(IIEF-15)视觉模拟量表(VAS)问卷调查。结果:组间年龄、体重、身高差异无统计学意义(p > 0.05);结论:SWE是一种廉价、无创的方法,可用于测量PD患者的刚度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Use of penile shear wave elastosonography for the diagnosis of Peyronie's Disease: a prospective case-control study.

Use of penile shear wave elastosonography for the diagnosis of Peyronie's Disease: a prospective case-control study.

Use of penile shear wave elastosonography for the diagnosis of Peyronie's Disease: a prospective case-control study.

Background: To evaluate the stiffness of the tunica albuginea (TA), we used a new noninvasive diagnostic technique called shear wave elastography (SWE). We determined whether SWE values are correlated with the degree of penile curvature, the time of disease onset, and pain severity experienced by patients during erection. This study analyzed the elasticity of the TA of patients with Peyronie's disease compared to that of the control group. We also analyzed any correlations between the stiffness of the cavernous bodies and the degree of curvature, time from diagnosis to curvature onset, and erectile pain severity. This was a prospective case-control study involving 100 men enrolled from September 2020 to August 2021. Participants were divided into group A (case group, n = 50), which included men with PD, with or without pain, and with penile curvature, or group B (control group, n = 50), which included healthy patients older than 18 years who visited the urology clinic for reasons other than PD. The medical history was collected for all patients who also underwent objective examination, B-mode ultrasound evaluation, and SWE. The International Index of Erectile Function (IIEF-15) visual analog scale (VAS) questionnaire was administered to all participants.

Results: There were no significant between-group differences regarding age, weight, and height (p > 0.05); however, there was a significant difference in the stiffness values (p < 0.05). An inverse correlation was observed between stiffness and the VAS score (p < 0.0001). A positive correlation was observed between the degree of curvature (p < 0.0001) and the time of curvature onset (p < 0.0001). The IIEF-15 scores were poorer in group A than in group B (p < 0.0001).

Conclusion: SWE is an inexpensive, noninvasive method that can be used to measure the stiffness of PD patients.

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来源期刊
Basic and Clinical Andrology
Basic and Clinical Andrology Medicine-Urology
CiteScore
3.50
自引率
0.00%
发文量
21
审稿时长
22 weeks
期刊介绍: Basic and Clinical Andrology is an open access journal in the domain of andrology covering all aspects of male reproductive and sexual health in both human and animal models. The journal aims to bring to light the various clinical advancements and research developments in andrology from the international community.
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