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.