22 de junho de 2008

Cavernosometry: is it a dinosaur?

J Sex Med. 2008 Apr;5(4):760-4.
Vardi Y, Glina S, Mulhall JP, Menchini F, Munarriz R.
Department of Neuro-Urology, Rambam Medical Center, Haifa, Israel.
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INTRODUCTION: Is cavernosometry a useful tool in treating men with erectile dysfunction?
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METHODS: Five people with expertise and/or interest in the area of cavernosometry were asked to contribute their opinions.
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MAIN OUTCOME MEASURE: To provide food for thought, discussion, and possible further
research in a poorly discussed area of sexual medicine.
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RESULTS: While one urologist feels dynamic infusion cavernosography and cavernosometry seem to have found their place in history, another believes it is time to separate these tests and look at cavernosometry alone and its relevance to the use of duplex Doppler ultrasound, both useful tools in assessing surgical candidates. Three clinicians agree that cavernosography and cavernosometry have a role in specific cases, particularly before revascularization surgery.
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CONCLUSION: Cavernosometry may not be a useful tool for the average clinician treating erectile dysfunction, but serves a purpose for the specialist.
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NOSSA OPINIÃO:
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A cavernosometria e cavernosografia são dois exames destinados a avaliar como está a contenção e o esvaziamento do sangue dentro dos corpos cavernososo do pênis. Esses exames estão ultrapassados, e praticamente abandonados, pois os seus resultados não influenciam no tratamento a ser estabelecido ao paciente. Mesmo porque atualmente com o ultra som eco doppler obtém-se as mesmas informações, com mais detalhes, mais simplicidade e menor desconforto para os pacientes.
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