INTRODUCTION: Sonoelastography is an emerging ultrasound-based technique that allows characterization of tissue stiffness.
AIM: The aim of this report is to present a case of significant penile curvature with a non-palpable, non-sonographically visualized plaque that was demonstrable with sonoelastography.
METHODS: A 60-year-old male presented with significant left penile curvature during erections. The penis was evaluated with physical exam followed by B-mode and color Doppler ultrasound. No evidence of plaque was identified with these modalities. Shear wave sonoelastography was pursued to further characterize the patient's Peyronie's disease.
RESULTS: An area of increased tissue stiffness that correlated with the site of maximum curvature was identified with shear wave sonoelastography and used to target intralesional injection therapy.
CONCLUSION: Sonoelastography provides an additional way to characterize, localize, and deliver therapy to a lesion in patients with Peyronie's disease and is particularly useful when palpation and B-mode ultrasonography have failed to demonstrate a plaque.
Written by:
Richards G, Goldenberg E, Pek H, Gilbert BR. Are you the author?
The Smith Institute for Urology, North Shore/Long Island Jewish Health System, New Hyde Park, NY, USA.
Reference: J Sex Med. 2013 Nov 22. Epub ahead of print.
doi: 10.1111/jsm.12396
PubMed Abstract
PMID: 24261857
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