Results
The study included 12 male individuals who came to Manisa Celal Bayar University Urology outpatient clinic with the complaint of erectile dysfunction for at least 2-3 years. The average age was 57.25 ± 11.71. Six mid-axial penile elastography measurements were performed in all patients pre-op right and left corpus cavernosum . The right T1 median value was 16.95±11.71 kPa, the right T2 median value was 16.40±5.20 kPa , the right T3 median value was 17.90±6.19 kPa and the right Tmed value was 16.90±5.76 kPa. Left T1 median value was recorded as 18.40±5.65 kPa, left T2 median value was 16.25±4.68 kPa, left T3 median value was 15.20±5.22 kPa and left Tmed was 16.4±5.05 kPa (Table 1). Percentage of right cavernous body muscle fibers median value was 85%±8.91 and percentage of left cavernous body muscle fibers median value was 80%±8.90 . Right elastic fiber scores median value was 2±0.83 and left elastic fiber scores median value was 2±0.73 (Table 2). When Masson trichrome was grouped according to their staining percentages, it was observed that right (p = 0.365, r = -0.287) and left (p = 0.126, r = - 0.467) cavernous body elastographic median values were not correlated with these percentiles according to the Kruskal Wallis test and Spearman’s correlation test. Staining on the left cavernous body elastic fibers median value of the patients who underwent score 1 (n: 3) was 15.5±10.02 kPa , the median value of the patients who underwent score 2 (n: 4) staining was 15.16±2.19 kPa and the median value of the patients who underwent score 3 (n: 5) staining was 17.63±1.87 kPa (Table 3) .Staining on the righ cavernous body elastic fibers median value of the patients who underwent score 1 (n: 3) was 15.76±9.59 kPa, the median value of the patients who underwent score 2 (n: 6) staining was 16.71±5.54 kPa and the median value of the patients who underwent score 3 (n: 3) staining was 21.13±3.05 kPa (Table 4). With the increase in the staining scores of elastic fibers in the right cavernosis and left cavernosis, the results of the right Tort and left Tort increased, but the results were not statistically significant according to the Kruskal Wallis Test and Spearman’s correlation test. (right side p = 0.751 r=0.102) (left side p=0.347 r=0.298 ). Median masson trichrome staining percentage of pathology specimens with left elastic fiber score 1 (n: 3) was 80%, left elastic fiber score 2 (n: 6) was 82.5% and left elastic fiber score 3 (n: 3) was %75. Median masson trichrome staining percentage of pathology specimens with right elastic fiber score 1 (n: 3) was 75% , percentage of pathology specimens with right elastic fiber score 2 (n: 4) was %85 and percentage of pathology specimens with right elastic fiber score of 3 (n: 5) was 87.5% .When the left cavernous body elastic fiber score was compared with the percentage of left cavernous body masson trichrome staining , it was found that the Kruskal Wallis Test and Spearman’s correlation test were not statistically significant. (right side p=0.347 r=0.298) (left side p=0.920 r=-0.033). Pathological data were also incompatible within themselves. The data we obtained as a result of our study showed that penile elastographic imaging is not a reliable method in the diagnosis of erectile dysfunction.