Jemds.com Original Research Article J. Evolution Med. Dent. Sci./eISSN- 2278-4802, pISSN- 2278-4748/ Vol. 7/ Issue 06/ Feb. 05, 2018 Page 737 EVALUATION OF ERECTILE DYSFUNCTION WITH DUPLEX COLOUR DOPPLER SONOGRAPHY OF PATIENTS PRESENTING IN IGIMS, PATNA Amit Kumar 1 , Sanjay K. Suman 2 , Umakant Prasad 3 , Chandra Bhusan Singh 4 1 Assistant Professor, Department of Radiodiagnosis, IGIMS, Patna. 2 Professor, Department of Radiodiagnosis, IGIMS, Patna. 3 Assistant Professor, Department of Radiodiagnosis, IGIMS, Patna. 4 Senior Resident, Department of Radiodiagnosis, IGIMS, Patna. ABSTRACT BACKGROUND Duplex colour Doppler sonography is a useful tool for the evaluation of erectile dysfunction, especially for organic causes like arterial and venous. The causes of erectile dysfunction are multiple. It could be vasculogenic, psychogenic, endocrinologic, neurologic and pharmacologic. Objective- To evaluate the role of duplex colour Doppler sonography for erectile dysfunction. MATERIALS AND METHODS An observational cross-sectional study was conducted at the Radiology Department of IGIMS, Patna from 06/04/17 to 30/12/17. All consecutive patients presenting with erectile dysfunction and who were undergoing penile Doppler evaluation with intracavernosal injection of papaverine 60 mg (2 mL) were included in this study. RESULTS A total of 21 patients with age range of 20 - 59 years were included in the study. A normal response was noted in 15 patients (psychogenic cases). Vasculogenic causes were observed in six patients, two with arterial insufficiency and four with venous leak. Peyronie’s disease was diagnosed in three patients. CONCLUSION Penile colour Doppler sonographic evaluation with papaverine is an excellent, effective, accurate and technically easy method of assessing patients with erectile dysfunction. It can easily differentiate a psychogenic cause of erectile dysfunction from vasculogenic cause and in vasculogenic cause it can accurately detect arterial insufficiency and venous incompetence. KEYWORDS Duplex Penile Colour Doppler, Erectile Dysfunction, Papaverine, Vasculogenic. HOW TO CITE THIS ARTICLE: Kumar A, Suman SK, Prasad U, et al. Evaluation of erectile dysfunction with duplex colour Doppler sonography of patients presenting in IGIMS, Patna. J. Evolution Med. Dent. Sci. 2018;7(06):737-741, DOI: 10.14260/jemds/2018/167 BACKGROUND Erectile dysfunction is a common occurrence among men of all age groups, ethnicities and cultural backgrounds, and its incidence is expected to increase significantly along with the increase in various lifestyle diseases. Erectile dysfunction initially called as “Impotence” has been defined as the inability to achieve and maintain penile erection, which leads to unsatisfactory multifaceted process of sexual function. [1] Its incidence is increasing drastically from about 6% in the age group of 20 - 29 years to 50% - 70% in the age group of 40 - 79 years. [2] Its incidence has been projected to increase significantly to over 320 million by year 2025. [3] India has been dubbed as the impotence capital of the world due to the high incidence of lifestyle diseases and probably the largest population of male in the world. ‘Financial or Other Competing Interest’: None. Submission 24-12-2017, Peer Review 20-01-2018, Acceptance 27-01-2018, Published 05-02-2018. Corresponding Author: Amit Kumar, C-28, Anand Vihar Colony, Road No. 2, Ambedkar Path, Jagdeo Path, Patna-800014, Bihar. E-mail: amitmd2008@gmail.com DOI: 10.14260/jemds/2018/167 The causes of erectile dysfunction are multiple like psychogenic, vasculogenic, endocrinologic, neurogenic and pharmacologic. Duplex colour Doppler sonographic study basically looks for the integrity and mechanism of the vascular system of penis. [4] Thus, it can be useful in the evaluation of erectile dysfunction if it is vascular in origin and easily exclude psychogenic and other medical causes. The objective of this study was to assess the role of duplex colour Doppler sonography in the evaluation of erectile dysfunction. MATERIALS AND METHODS An observational cross-sectional study was conducted in the Department of IGIMS, Patna from 6/4/17 to 30/12/17. A total of 21 consecutive patients presenting with erectile dysfunction were included and all underwent penile colour Doppler evaluation with injection of papaverine 2 mL intracavernosal used in this study. First gray scale ultrasound was done in both longitudinal as well as transverse planes to assess anatomical abnormality or plaque deposition. Further a baseline study of cavernosal arteries and pre-injection velocities of cavernosal arteries were noted. Before doing ultrasound, a brief history of patients was taken and adequate privacy and quiet surrounding were provided to allay their anxiety as much as possible. The study was performed by one of three experienced radiologists. All studies were done on Samsung