Maladie de La Peyronie: Bilan IRM chez 28 patients |
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| Authors: | A Lhoste-Trouilloud J Hermabessiere J M Garcier A Ravel L Boyer |
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| Institution: | 1. Service de Radiologie CHU G. Montpied, place H. Dunant, 63000, Clermont Ferrand
2. Centre Urologique Félix Guyon, 99 avenue de la République, 63000, Clermont Ferrand
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| 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. |
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