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Abstract


Diagnostic value of the pressure difference (PDBC) between brachial artery systolic pressure (BASP) and cavernosal artery systolic occlusion pressure (CASOP) was comparatively analyzed with penile brachial index (PBI), cavernosal artery duplex
ultrasonography (CADU) and selective internal pudendal arteriography in 60 cases (30 patients) with suggestive arteriogenic impotence.
1. When arteriogram set as a standard control, the specificity and sensitivity of PDBC were 58.8%, 61.8%, those of CADU were 57.1%, 59.4% and those of PBI were 55.8%, 70.6%.
2. When PDBC set as a standard control, the specificity and sensitivity of internal pudendal arteriography were 43.5%, 75.0%, those of CADU were 34.8%, 67.9% and those of PBI WERE 34.3%, 68.8%.
Those results suggest that PDBC is not significantly correlated with internal pudendal arteriogram and it has a limitation in evaluation of arteriogenic impotence. Thus, PDBC should be interpreted in comparison with PBI, CADU and/or arteriogram.

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