Ultrasound/MRI question

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sonnyjim

What exactly does an ultrasound show?

Soft tissue damage?
Scar tissue ?
Changes ?

Thanks guys.
33yo, single
severe ed caused by injury to cs, soft glans, lack of sensation
penile implant: ams lgx 700

hope794

for what i personally know, an ultrasound shows everything "not normal" in the tissues.
Plaque, scars, fibrosis, but should also notice inflammations, and so on.
26 yo from Italy.
Peyronie's since abt 2014
Abt 20-25° bend, w/ a moderate twist to the left
ED for 4 years and getting worse
From pornstar-like to moderately depressed - still fighting for a solution.

sonnyjim

So it will show tissue damage too ?
33yo, single
severe ed caused by injury to cs, soft glans, lack of sensation
penile implant: ams lgx 700

hope794

Yes, it will show that the tissue is not 'normal' in that zone of the penis. (so it's damaged)
Since i'm not a doctor, i suggest to do these question to a specialist; he would probably know way better than me. But as a patient, i think that an ultrasound is needed for this: identify zones of damages, plaques, and so on.
26 yo from Italy.
Peyronie's since abt 2014
Abt 20-25° bend, w/ a moderate twist to the left
ED for 4 years and getting worse
From pornstar-like to moderately depressed - still fighting for a solution.

tiagofil

I'm very interested in this question. Does anyone who made the two tests say which one is more accurate?

From what I searched:
"Penile ultrasonography can be used to help delineate the plaque and to place the calcification within it by the characteristic echogenic shadowing".

But an Doppler ultrasound is better since it can estimate the blood flow through your blood vessels and it will be more valuable to know the erection quality.

More importantly: Müller A; Mulhall JP in the Journal of sexual medicine investigating the research on the disease and its treatments say **All methods of plaque measurement are inaccurate except for penile MRI, which was not used in any study reviewed**




sonnyjim

I am wondering how my urologist found nothing important enough for me to know about on the Doppler ultrasound when I have like three different places where I can feel lumps, have no sensation in my penis, and severe ED not responding to pills...

But my ultrasound came back normal.

So if an ultrasound really does show all of these things (scar tissue, tissue damage, plaques) then WTF are these lumps and why have they ruined my sex life completely...

33yo, single
severe ed caused by injury to cs, soft glans, lack of sensation
penile implant: ams lgx 700

suicidecomingsoon

Was it with injection? Doppler showed nothing in my case but the injection did not give me an erection so obviously there was something very bad

Anyway try to get a cavernosography

TonySa

For an ultrasound, An erection is not necessary to identify plaque/peyronies but is to diagnose ED
PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

sonnyjim

They didn't find anything on the ultrasound anyway, so how useful is the test anyway? Pretty useless if you ask me.
33yo, single
severe ed caused by injury to cs, soft glans, lack of sensation
penile implant: ams lgx 700

tiagofil

Go to a different doctor or research someone who does a penile MRI.

"MRI of the penis has been used to image the plaque while it is still composed of fibrous tissue  Although MRI is not the preferred imaging technique because of cost and availability, it may prove helpful in questionable cases."

tiagofil