(257) Ultrasound Classification System for Peyronie's Disease

Abstract Introduction Peyronie’s Disease (PD) is characterized by a fibrous scar of the tunica albuginea. PD typically imaged with 2D ultrasound. We propose classification system these ultrasound findings in evaluation PD. Objective The purpose this study to establish functional sonographic for evaluating and examine relationship between grading curvature, duration PD, vascular erectile status. Methods In our study, 395 patients underwent intracavernosal injection an agent (ICI) followed Color Doppler Duplex Ultrasound (CDDU). All CDDU studies were performed single examiner all was done two independent reviewers using saved images. including peak systolic velocities (PSV) resistive indices (RIs) recorded. grades images classified into three grades: Grade 1 acoustic shadowing without calcification; 2 focal microcalcifications tunica, pillars, or septal fibers; 3 confluent calcification dorsal, septal, ventral Results There 250 (63%) changes, 75 (19%), 70 (18%). groups had similar median ages body mass index (BMI): (59.3 yr), (59 yr) (60.3 p = 0.711; BMI 27.6, 28.2, 27.7, 0.813. Additionally, medical surgical risk factors dysfunction across groups; included hypertension, heart disease, diabetes mellitus, hyperlipidemia, smoking history, history prostate surgery. Most previously used PDE5-Inhibitors (293/395). History and/or physical Dupuytren’s palmar contracture noted 30/395 (7.6%) men. not significantly different (12, 12, 14 months 0.639). Neither diagnoses (Table 1) nor curvature varied 2). Conclusions resulting from seals together outer longitudinal inner circular layers albuginea causing deformity erect shaft. plaques are usually palpable associated thickening tunica. On ultrasound, typical appearance shadow. presented I no calcifications 250/395 (63%). other hand, 19% plaque additional deep 18% unique reproducible Peyronie's Disease. This based on grayscale may serve diagnostic evaluation, didactic teaching integrated research. Disclosure No