Penile Sonoelastography for the Localization of a Non-Palpable, Non-Sonographically Visualized Lesion in a Patient with Penile Curvature from Peyronie's Disease

Authors

  • Gideon Richards MD,

    1. The Smith Institute for Urology, North Shore/Long Island Jewish Health System, New Hyde Park, NY, USA
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  • Etai Goldenberg MD,

    1. The Smith Institute for Urology, North Shore/Long Island Jewish Health System, New Hyde Park, NY, USA
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  • Henry Pek MD,

    1. Department of Radiology, Site Director North Shore Long Island Jewish at Great Neck, Great Neck, NY, USA
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  • Bruce R. Gilbert MD, PhD

    Corresponding author
    1. The Smith Institute for Urology, North Shore/Long Island Jewish Health System, New Hyde Park, NY, USA
    • Corresponding Author: Bruce R. Gilbert, MD, PhD, The Smith Institute for Urology, North Shore/Long Island Jewish Health System, 450 Lakeville Rd, New Hyde Park, NY 11042, USA. Tel: (516) 487-2700; Fax: (516) 487-2007; E-mail: BGilbert@gmail.com

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Abstract

Introduction

Sonoelastography is an emerging ultrasound-based technique that allows characterization of tissue stiffness.

Aim

The aim of this report is to present a case of significant penile curvature with a non-palpable, non-sonographically visualized plaque that was demonstrable with sonoelastography.

Methods

A 60-year-old male presented with significant left penile curvature during erections. The penis was evaluated with physical exam followed by B-mode and color Doppler ultrasound. No evidence of plaque was identified with these modalities. Shear wave sonoelastography was pursued to further characterize the patient's Peyronie's disease.

Results

An area of increased tissue stiffness that correlated with the site of maximum curvature was identified with shear wave sonoelastography and used to target intralesional injection therapy.

Conclusion

Sonoelastography provides an additional way to characterize, localize, and deliver therapy to a lesion in patients with Peyronie's disease and is particularly useful when palpation and B-mode ultrasonography have failed to demonstrate a plaque. Richards G, Goldenberg E, Pek H, and Gilbert BR. Penile sonoelastography for the localization of a non-palpable, non-sonographically visualized lesion in a patient with penile curvature from Peyronie's disease. J Sex Med 2014;11:516–520.

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