Skip to main content
  • Maladie de La Peyronie
  • Published:

Maladie de La Peyronie: Bilan IRM chez 28 patients

Peyronie’s disease: MR evaluation in 28 patients

Résumé

  • - 31 IRM de verge ont été réalisées chez 28 patients suspects de maladie de La Peyronie de La Peyronie. Les images obtenues ont été confrontées aux données cliniques et à l’évolution après traitement anti-inflammatoire.

  • - 5 nodules palpables étaient méconnus à l’IRM, mais l’IRM objectivait plus de lésions que de nodules palpables dans 5 autres cas.

Une prise de Gadolinium permettait de prévoir constament un effet favorable des anti-inflammatories.

  • - L’IRM nous semble donc apte à contribuer au bilan lésionnel et à la surveillance évolutive de la maladie de La Peyronie.

Abstract

Purpose

to determine diagnosis and prognosis value of MRI in Peyronie’s disease.

Material and Methods

thirty one penile MR examinations have been performed in 28 patients aged between 21 and 73. (1 tesla; surface coil; sagittal SET1, axial SET2 weighted, T1 before and after Gadolinium)

  • - In all cases but one, fibrous plaques were clinically palpable.

  • - Images were compared with clinical examination and evolution under anti-inflammatory drugs.

Results

  • - In 3 cases, MRI misdiagnosed one unique plague.

  • - In 2 additional cases, one of the 2 clinical plaques was not detected.

  • - In 5 cases, MRI depicted more lesions than palpation.

  • - Gadolinium Enhancement was always correlated with a good response to anti-inflamatory drugs but this treatment was also useful in one case who showed no enhancement.

Conclusion

MRI can be helpfull in the pretreatment assessment and int he follow-up of Peyronie’s disease.

References

  1. GUALDI G.F., VOLPE A, POLLETINI E. et al The role of magnetic resonance in the evaluation of pathological processes involving the penis. Clinica terapeutica, 1993 Aug., 143 (2) 167–171

    PubMed  CAS  Google Scholar 

  2. HELWEG G, JUDMAIER W, BUCHERGER W et al. Peyronie’s diesease: MR Findings in 28 patients AJR, June 1992, 158: 1261–1264

    PubMed  CAS  Google Scholar 

  3. HRICAK H., MAROTTI M., GILBERT T.J., et al. Normal penile anatomy and abnormal penile conditions: evaluation with MR imaging. Radiology, 1988, 169: 683–690

    PubMed  CAS  Google Scholar 

  4. LOPEZ J.A., JARROW J.P. Duplex ultrasound findings in men with Peyronie’s disease Urol Radiol, 1991, 12: 199–202

    Article  PubMed  CAS  Google Scholar 

  5. PATARD J.J., DESGRANCHAMPS F., OLLIER P. et al. Apport de l’IRM dans la rupture des corps caverneux Progrès en Urologie, 1993, 3, 1024–1027

    PubMed  CAS  Google Scholar 

  6. RALPH D.J., HUGHES T., LEES W.R. et al. Pre-operative assessment of Peyronie’s disease using color doppler sonography Br. J. Urol, 1992 Jun, 69 (6): 629–632

    Article  PubMed  CAS  Google Scholar 

  7. SCHOUMAN-CLAEYS E. Valeur et place de l’imagerie de la maladie de La Peyronie. Andrologie, 1998, 8, no2: 148–156

    Article  Google Scholar 

  8. TAMBURRINI O., DELLA SALA M., SESSA M. et al. Functional MR of Peyronie’s disease in the chronic stable phase Radiologica Medica, 1993 Dec, 86 (6): 851–855

    CAS  Google Scholar 

  9. VOSSHENRICH R., SCHROEDER-PRINTZEN I, WEIDNER W. et al. Value of Magnetic Resonance Imaging in patients with penile induration (Peyronie’s disease). J. Urol 1995, 153: 1122–1125

    Article  PubMed  CAS  Google Scholar 

  10. YOKOGI H., MIZUTAMI M., ISHIBE T. Magnetic resonance imaging of a penile fracture. Acta Urologica Belgica, 1992, Vol. 60, no 1: 93–95

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lhoste-Trouilloud, A., Hermabessiere, J., Garcier, J.M. et al. Maladie de La Peyronie: Bilan IRM chez 28 patients. Androl. 10, 206–214 (2000). https://doi.org/10.1007/BF03034373

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03034373

Mots clés

Key words