Penis & Scrotum Ultrasound

[Clint Lovelace]

Chris have you had this done personally or only seen it done from the clinical side since you work there?

 

[Nelson Vergel]

This is a great summary of some tests urologists use to determine severity of ED and if there is venous leakage: [h=2]Diagnosing Erectile Dysfunction[/b]

 

[Gene Devine]

I can get an erection on my own just don't have the staying power I once had; my Doc said he had the same issue.

I walked out with meds in hand!

 

[Clint Lovelace]

So Gene did they say it was ED or premature ejaculation then? I can sometimes get an erection on my own but it never stays and if i am able to make it stay the orgasm feels like crap!

 

[Gene Devine]

So Gene did they say it was ED or premature ejaculation then? I can sometimes get an erection on my own but it never stays and if i am able to make it stay the orgasm feels like crap!

I don't have a problem with PE or to a lesser extent ED, just don't have that longer staying power I had even 5 years ago.

Doc said "it happens" and submitted he has the same problem with duration.

I don't use Trimix all the time; only when we want a longer session and I don't want to worry about losing my erection.

For me, the quality of the orgasm is great and if I orgasm a 2nd time...it's mind blowing!

Sounds like your a good candidate Clint.

Trimix is a very safe drug with a long track record of success.

 

[Nelson Vergel]

Trimix is NOT a completely safe drug. You need to know what you are doing and should be trained by a physician or other clinician. It can cause prolonged erections in some men (priaprism). I know at least 5 men who have ended up in the emergency room during the past 10 years since they were not following procedure.

 

[Clint Lovelace]

Thank you Nelson! I have no idea what this clinic uses, but if my insurance does not cover it (unless given for hypertension and only in pill format i think) I need to know expected out of pocket costs in general. :/

 

[Gene Devine]

Thank you Nelson! I have no idea what this clinic uses, but if my insurance does not cover it (unless given for hypertension and only in pill format i think) I need to know expected out of pocket costs in general. :/

Prices vary...these are questions for your Physician/Clinic.

 

[Gene Devine]

Trimix is NOT a completely safe drug. You need to know what you are doing and should be trained by a physician or other clinician. It can cause prolonged erections in some men (priaprism). I know at least 5 men who have ended up in the emergency room during the past 10 years since they were not following procedure.

Well of course, any drug not taken according to direction isn't safe.

When taken as directed this drug has an excellent safety record.

 

[Clint Lovelace]

Yeah I figured prices varied, was just hoping to find an average or range so I would know. My insurance also said depending on the type of TRT therapy it may or may not cover that. This is getting ridiculous. Insurance suggested I only see an in-network provider so I will know up front whats covered before I walk out with a prescription. Thing is, after 3 docs, no luck yet.

 

[Chris Morrow]

Chris have you had this done personally or only seen it done from the clinical side since you work there?

I have both seen it done and had it done. All our employees have it done when they start. The prices are typicallys $15-$22 per use in a concierge practice such as Alabama Men's Clinic. You can find some Urologists who know what they are doing who can do it for you in Network with your insurance company. But they can be tough to find as only about 5% of Urologists prescribe TriMix. Generally ED meds (Viagra, Cialis, TriMix) are not covered by insurance companies. The diagnosing part is though. When I work to get them covered they generally tell me they are for recreation unless the patient is under 40 and then they are covered under procreation instead of recreation. It is unfortunate that the insurance companies dictate it so much. This is also the reason why many physicians don't use TriMix.

Also, keep in mind many insurance policies do not cover compounded prescriptions. Good luck to you and I am sure you will be happy with the results!

 

[Clint Lovelace]

I wish I could find a urologist in network to do it but no luck so far. I was referred to one a while back and never saw him--only because was waiting to see the Endo---i have just emailed him to ask what his approach was to the TRT and ED side of it. Told him I was trying to be proactive and being more aggressive in this since no one else I had seen seemed to care. So depending on what he says I may or may not see him, if not I will either do the Alabama Men's Clinic and pay out of pocket or try to find another urologist.

My insurance company said they would only cover an ED drug if it was a pill and prescribed for hypertension.

 

[Nelson Vergel]

There are no ED drugs approved for both ED and hypertension. He probably meant BPH (Cialis is approved for ED and to treat benign prostatic hyperplasia)

Some alpha receptor inhibitors used to lower blood pressure can improve ED, but they are not approved for ED.

 

[Clint Lovelace]

He said if the doctor can prove it is given for hypertension then they would cover it, he said viagra specifically...it was new to me so not sure. I asked the insurance rep why and he said it was a contract decision.

 

[Chris Morrow]

There are no ED drugs approved for both ED and hypertension. He probably meant BPH (Cialis is approved for ED and to treat benign prostatic hyperplasia)

Some alpha receptor inhibitors used to lower blood pressure can improve ED, but they are not approved for ED.

This is kind of inaccurate.Ffor instance if a doctor prescribed Revatio (Sildenafil) his insurance would cover it. Sildenafil is approved for both ED and Hypertension. How ever they change the brand name of each drug depending on which you are treating.

 

[Nelson Vergel]

Thanks Chris for reminding me of that indication that most of us do not think about.

Going back to the original post of this thread, I found this detailed information about penile ultrasound:

"Vascular function within the penis can be evaluated by means of duplex ultrasonography. In this procedure, blood flow in the cavernosal arteries within the corpora cavernosa is measured before and after the intracavernosal injection of a test dose of a standard vasodilator (eg, 20 µg of PGE1).Criteria for evaluating the study results vary to some degree. A peak systolic velocity lower than 25 cm/sec is generally agreed to indicate arterial insufficiency. The proposed value for the lower limit of normal ranges from 25-35 cm/sec, but a peak systolic velocity of 35 cm/sec or higher clearly rules out arterial insufficiency. End-diastolic velocity serves as a proxy for venous outflow; a velocity of 5 cm/sec or lower when the penis is at full rigidity indicates the absence of abnormal venous leakage." Source