The Effectiveness of 3-D Computed Tomography in the Evaluation of Penile Deformities in Patients With Peyronie's Disease: A Pilot Study

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dc.authoridÇevik, Gökhan/0000-0001-5221-5132
dc.authoridortac, mazhar/0000-0002-4784-5209
dc.authorwosidÖZMEZ, ABDULKADİR/HJP-5295-2023
dc.authorwosidKadioglu, Ates/AAV-6720-2020
dc.authorwosidÇevik, Gökhan/GZA-3993-2022
dc.contributor.authorOzmez, Abdulkadir
dc.contributor.authorOrtac, Mazhar
dc.contributor.authorCevik, Gokhan
dc.contributor.authorAkdere, Hakan
dc.contributor.authorBakir, Baris
dc.contributor.authorKadioglu, Ates
dc.date.accessioned2024-06-12T10:59:11Z
dc.date.available2024-06-12T10:59:11Z
dc.date.issued2019
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Anatomic and functional evaluation of the penis before treatment is very important in the choice of treatment in patients with Peyronie's disease (PD). Aim: To compare 3 different methods for the evaluation of the penile deformity, including auto-photography, combined intracavernous injection stimulation test (CIS), and 3-dimensional computed tomography (3D CT) during artificial penile erection in patients with PD. Methods: Pretreatment penile deformities of patients with PD were compared with those detected with autophotography, using goniometer after intracavernosal vasoactive agent, and 3D CT correlations among these 3 methods were investigated. Main Outcome Measures: Assessments of penile curvature with auto-photography, CIS, and 3D CT. Results: The mean age of 36 patients who were included in the study was 58 +/- 8.25 (36-72) years, and the mean time since the onset of the disease was 25 +/- 24 months (2-144). Degrees of penile curvatures measured using auto-photography, CIS, and CT were determined as 24 degrees (0 degrees-80 degrees), 40 degrees (0 degrees-90 degrees), and 34 degrees (0 degrees-80 degrees), respectively. When general correlation analysis was performed to evaluate the penile curvatures of all patients using 3 methods, a moderate correlation between auto-photography and both CIS (r = 0.72, P < .001) and 3D CT (r = 0.56, P < .001) was detected, whereas a strong correlation was noticed between CIS and 3D CT (r = 0.78, P < .001). When the correlation analysis between patients with and without ED was examined, a statistically significant decrease in the strength of correlation between CIS and auto-photography in patients with ED (0.629 vs 0.925, P < .05), however, was detected without any statistically significant difference in patients without ED (0.694 vs 0.813, P > .05). Conclusion: The superiority of 3D CT over auto-photography and its strong correlation with CIS in most parameters have been demonstrated. However, it was found that CT did not give more information than the evaluation with CIS. Current limitations and cost increases limit the use of 3D CT in the assessment of PD. Copyright (C) 2019, The Authors. Published by Elsevier Inc. on behalf of the International Society for Sexual Medicine.en_US
dc.identifier.doi10.1016/j.esxm.2019.06.009
dc.identifier.endpage317en_US
dc.identifier.issn2050-1161
dc.identifier.issue3en_US
dc.identifier.pmid31324507en_US
dc.identifier.scopus2-s2.0-85068918754en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage311en_US
dc.identifier.urihttps://doi.org/10.1016/j.esxm.2019.06.009
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20358
dc.identifier.volume7en_US
dc.identifier.wosWOS:000496918800006en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofSexual Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDeformityen_US
dc.subjectPenile Curvatureen_US
dc.subjectPeyronie's Diseaseen_US
dc.subjectManagementen_US
dc.subjectCurvatureen_US
dc.titleThe Effectiveness of 3-D Computed Tomography in the Evaluation of Penile Deformities in Patients With Peyronie's Disease: A Pilot Studyen_US
dc.typeArticleen_US

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