The Role of Color Doppler Ultrasound in Initial Evaluation of Patients with Priapism: A Cross Sectional Study Abdulsattar Osamah Ayad1, Obaid Ahmed Turki1, Jasim Hasanain Ahmed1 1College of Medicine, Babylon University, Consultant radiologist, Radiology Department, Hilla Teaching Hospital, Babylon province, Iraq Corresponding author: Zaid Bader Mohammad. Directorate of Education province of Babylon, Iraq
Online published on 21 February, 2019. Abstract Aim of the study: To evaluate the role of color Doppler ultrasound in the initial evaluation of patients with priapism. This cross sectional study included a total of 19 men complaining of priapism who were referred by the urology unit in Al-Hilla teaching Hospital, Babylon province, Iraq. The study started on the 1st of February 2018 and extended through October 2018. The device used was the color Doppler ultrasound scan using high-frequency (5.0–12.5 MHz) linear transducer. The main outcome measurements were peak systolic velocity (PSV), end diastolic velocity (EDV) and resistive index (RI). After full workup, the causes were identified: ischemic pathology was seen in 13 patients and non-ischemic pathology was seen in 6 patients. Cause of ischemia were sickle cell disease (n = 7), intracavernous drug injection (n = 4) and thrombophlebitis (n = 2), as shown in table 1. Causes of non-ischemic priapism were penile trauma (n = 4) and perineal trauma (n = 2). Ultrasound finding in ischemic finding was in the form of absence of cavernous arterial blood flow. The main finding in ischemic cases was the turbulence blood flow around the caverouns arteries indicating some form of rupture of their branches. Top Keywords Priapism, color Doppler ultrasound, Iraq. Top |