Diagnostic Value of Penile-Digital Systolic Pressure index (PDI) in Arteriogenic lmpotence: A study for normal values in Korean males.
- Author:
Hee Sung PARK
1
;
Hyung Ki CHOI
Author Information
1. Department of Urology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
penile-digital systolic pressure index;
erection
- MeSH:
Blood Pressure*;
Erectile Dysfunction;
Exercise Test;
Female;
Humans;
Impotence, Vasculogenic;
Male*;
Reference Values*;
Ultrasonics
- From:Korean Journal of Urology
1986;27(4):525-528
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Penile and digital systolic pressures were measured with Doppler ultrasonic sthetoscope in 65 normal subjects. This technique is simple, reliable, inexpensive OPD procedure for the detection of penile arterial lesion in patients with impotence. With this study, we concluded that normal men have a PDI ratio above 0.77, and impotent men have a. PDI ratio below 0.63. However, the ratio range from 0.63 to 0.77 is borderline range which is not clearly impotent or normal. Hyperemic stress test is indicated the patient with borderline range. Pelvic steal test can detect vascular pathological condition previously missed by PDI. We indicate this test in the patients with history of intermittent gluteal claudication. We concluded that arteriogenic impotence is easily diagnosed by PDI combined with hyperemic stress test and pelvic steal test, if indicated.
