Penile Doppler Explained: Normal Study vs Arterial Insufficiency and Venous Leak

[madman]

Penile Doppler ultrasound is a vital tool for evaluating vascular causes of erectile dysfunction. In a normal study, adequate arterial inflow is demonstrated by a peak systolic velocity (PSV) greater than 30–35 cm/s, and proper venous occlusion is confirmed by a low end diastolic velocity (EDV) approaching zero. This pattern supports the achievement and maintenance of a firm erection. In contrast, the abnormal case shows a PSV less than 25 cm/s, indicating arterial insufficiency, and a persistently elevated EDV of 5–9 cm/s with continuous diastolic flow, suggesting a venous leak. Together, these findings point to mixed vascular erectile dysfunction. Early diagnosis through penile Doppler is crucial for guiding appropriate management strategies and improving patient outcomes, emphasizing the need for a comprehensive vascular assessment in men with erectile dysfunction.




Normal vs abnormal PDDU

Clinical Implications:

 

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Normal vs Abnormal Penile Doppler

In simple terms

 

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PDDU Images

 

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PDDU findings

 

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Analysis of Findings

Interpretation:

 

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Clinical Implications:

Prognosis:

 

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Recommended Next Steps:

 

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Conclusion:

 

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Thread 'The Value of Penile Ultrasound in ED Diagnosis'

Oct 3, 2023

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https://register.gotowebinar.com/register/2458027946062758492?source=Email+Template+1

Dr. Helen Bernie will educate on the value of ultrasound for erectile dysfunction (ED) studies during this peer-to-peer webinar. By the end of this webinar, attendees will be able to identify the types of ED and identify areas within their practice where ultrasound is of added value. Attendees will also have a better understanding of how to confidently perform a penile Doppler examination

• madman
• penile doppler; ed/priapism; ultrasound
• Replies: 29
• Forum: When TRT Is Not Enough (ED, Libido, & More)

 

[madman]

Post in thread 'Erectile dysfunction - What Is Penile Venous Leakage?'

Oct 11, 2024

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• madman