Penile Pressures and Waveforms - Duplex/Color Flow Imaging Evaluation Flashcards
penile pressures and waveforms help determine ___
help determine whether an individual’s failure to attain or maintain a sufficient erection is related to peripheral vascular insufficiency
penile duplex/color flow imaging combined with ergometry, may indicate (3)
pelvic steal
arterial vasospasm
ipsilateral arterial occlusive disease
obtain penile pressures from 2 or 3 sites using ___
PPG
pulse volume plethysmography
CW Doppler
penile/brachial index (PBI)
normal
marginal
abnormal
normal ( ≥ 0.75 )
marginal ( 0.65 - 0.74 )
abnormal ( < 0.65 )
measure ___ arteries bilaterally and their PSVs before the urologist injects a vasodilator to induce erection
cavernous arteries
penile waveforms
pre-injection = ___ resistance
post-injection = ___ resistance
pre-injection - high resistance
post-injection - lower resistance until erection
penile PSVs ___ after injection
increase after injection
penile PSVs post-injection
normal
marginal
reduced
normal ( > 30 cm/sec )
marginal ( 25 - 29 cm/sec )
reduced ( < 25 cm/sec )
deep dorsal venous flow velocities should NOT ____
should NOT increase
deep dorsal venous flow post-injection
normal
moderately increased
markedly increased
normal ( < 3 cm/sec )
moderately increased ( 10 - 20 cm/sec )
markedly increased ( > 20 cm/sec )
what is a varicocele?
enlargement of the veins of the spermatic cord
varicoceles are most common on the ___ side
left
varicocele
___ flow is noted during Valsalva maneuver
reverse flow