A classification based on peak systolic velocity and end diastolic velocity predicts sildenafil citrate success
dc.contributor.author | Başar, M. Murad, | |
dc.contributor.author | Atan, A. | |
dc.contributor.author | Tekdoğan, Ümit Y. | |
dc.contributor.author | Batislam, E. | |
dc.date.accessioned | 2020-06-25T17:35:16Z | |
dc.date.available | 2020-06-25T17:35:16Z | |
dc.date.issued | 2003 | |
dc.department | Kırıkkale Üniversitesi | |
dc.description | Batislam, Ertan/0000-0002-7493-4573 | |
dc.description.abstract | Objective: To attempt to predict the success rate of sildenafil citrate in erectile dysfunction patients using penile Doppler ultrasonography (PDU) measurements of peak arterial velocity and end diastolic velocity. Material and Methods: A total of 212 patients (age range 27-76 years) with vascular pathologies were included in the study. Following a PDU test, the patients were divided into arterial insufficiency, veno-occlusive dysfunction and mixed vascular pathology groups. Subsequently, patients were given sildenafil citrate 50 mg and re-evaluated 1 month later to determine its efficacy. If it was ineffective, the dose was increased to 100 mg and patients were reassessed. Arterial insufficiency and veno-occlusive dysfunction patients were classified into mild, moderate and severe groups depending on peak systolic and end diastolic velocities. Results: The overall response rate in patients with arterial insufficiency was 74.5%, regardless of the degree of arterial insufficiency or the dose of sildenafil. The severe arterial insufficiency group had a much better response to 100 mg compared to 50 mg doses of sildenafil. Although the 50 mg sildenafil dose was effective in patients with minimal veno-occlusive dysfunction, 100 mg was better than 50 mg to achieve adequate erection in the mild and severe veno-occlusive dysfunction groups. Conclusions: Sildenafil was ineffective in patients with severe arterial and venous insufficiency. PDU and a simple classification of PDU velocity measurements can provide some important clues to the prognosis of treatment and avoid overtreatment and unnecessary office visits. | en_US |
dc.identifier.citation | closedAccess | en_US |
dc.identifier.doi | 10.1080/00365590310014526 | |
dc.identifier.endpage | 506 | en_US |
dc.identifier.issn | 0036-5599 | |
dc.identifier.issue | 6 | en_US |
dc.identifier.pmid | 14675925 | |
dc.identifier.scopus | 2-s2.0-0347126344 | |
dc.identifier.scopusquality | N/A | |
dc.identifier.startpage | 502 | en_US |
dc.identifier.uri | https://doi.org/10.1080/00365590310014526 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12587/3076 | |
dc.identifier.volume | 37 | en_US |
dc.identifier.wos | WOS:000187296700011 | |
dc.identifier.wosquality | Q4 | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.indekslendigikaynak | PubMed | |
dc.language.iso | en | |
dc.publisher | Informa Healthcare | en_US |
dc.relation.ispartof | Scandinavian Journal Of Urology And Nephrology | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | arterial insufficiency | en_US |
dc.subject | erectile dysfunction | en_US |
dc.subject | penile Doppler ultrasonography | en_US |
dc.subject | sildenafil | en_US |
dc.subject | veno-occlusive disease | en_US |
dc.title | A classification based on peak systolic velocity and end diastolic velocity predicts sildenafil citrate success | en_US |
dc.type | Article |
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