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The Use of Penile Computed Tomography Cavernosogram in the Evaluation of Peyronie's Disease: A Pilot Study by McCullough, Andrew; Trussler, James; Alnammi, Mohanned; Schober, Jared; Flacke, Sebastian is a Medicine article available to read on EtoBox.

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## Background: Clinical assessment of peyronie disease (pd) is unreliable and difficult to reproduce. ## Aim: To assess the utility of the computed tomography cavernosography (ctc) in evaluating the penile functional abnormalities of pd. ## Methods: Men were placed in the philips iqon spectral ct scanner (phillips, cambridge, ma, usa) in the supine position. the penis was injected with trimix (papaverine 30 mg/cc, phentolamine 2 mg/cc, and prostaglandin 20 mcg/cc) in the left proximal base using a 27-gauge syringe. clinical effect was assessed after 5 minutes. if penile erection was less rigid than adequate for penetration, the dose was repeated until a satisfactory result was achieved. a subcutaneous injection of 1% lidocaine for local analgesia was then injected into the left subcoronal corpora. after the maximum erection was obtained, a 20-gauge angiocatheter was inserted into the anesthetized area. the angiocatheter was connected via intravenous tubing to a 60-cc luer lock syringe of 50% mixture of iodinated contrast in normal saline. the penis was manually inflated until maximum erection was achieved as per the patient's report. the patient then underwent computed tomography s

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Author

McCullough, Andrew; Trussler, James; Alnammi, Mohanned; Schober, Jared; Flacke, Sebastian

Publisher

Oxford University Press (OUP)

Published

2020

Language

EN

Field

Medicine (Health Sciences)