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goldpeak93

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Doppler ultrasound result help
« on: December 05, 2016, 09:14:46 PM »

Hello,

I am a 23 year old, healthy and fit male. I've been experiencing ED since the beginning of this year. I'm able to get an erection, but it rapidly goes down with no stimulation. Had a doppler ultrasound done at a local clinic and these were the findings:

Appropriate physiologic erectile response Trimex. Cavernosal arterial diameters normal. Expected Trimix induced decrease in flow resistance followed by expected increase in flow resistance. Cavernosal artery peak systolic velocities within normal limits with the exception of borderline transient decrease on left at 15 minutes which may have been technical variation.

According to this report, there are no indications of any penile abnormality (i.e. venous leak). But to this day, I'm still able to maintain an erection. Concerning morning wood, I never wake up with a full erection. When I wake up, it's typically in a state similar to that after you lost an erection (it's filled with some blood, but not rock hard). I've seen multiple urologists about this issue, and they have all told me that this report indicates "good" news for me, and that my issue is psychogenic. I was given the Cialis treatment, but that has shown minimal improvement in my EQ.

I'm at a point now where I think the doppler results are incorrect and I do have a physical problem. Any words of advice on this issue? I'm going to try going masturbation-free for a solid month or 2 to see if that helps anything.

Thank you.
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LWillisjr

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Re: Doppler ultrasound result help
« Reply #1 on: December 05, 2016, 09:20:31 PM »

 I can tell you from experience that your mental state or thought process has a far greater impact than you realize. I'm only suggesting to not rule out your mental state of mind.
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #2 on: December 05, 2016, 09:28:13 PM »

Thank you for the prompt response. It's much appreciated.

I have definitely considered the mental health side of this. I've been seeing a therapist, and I've been diagnosed with depression, anxiety, and OCD. We've been working through these with medications (which were selected to not affect sexual function) and talk therapy. My mental state has gotten better, but erections have shown no improvement.

The thing that bothers me the most is that this issue has gone on for almost a full year now. If it had just been going on for a short period of time, it wouldn't be bothering me as much.
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nowhereman

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Re: Doppler ultrasound result help
« Reply #3 on: December 07, 2016, 01:14:45 PM »

Do you watch porn? It can (and will given enough time) stop you from being able to get an erection without it, and the endgame is you can't even get erect to porn anymore. The cure is to stop watching it. And you get your erections back. I and countless others will personally vouch for that. Google "porn induced erectile dysfunction". Given the doctors say your dicks fine, this is BY FAR the most likely culprit. As well as depression, anxiety, performance anxiety etc.
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mischa

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Re: Doppler ultrasound result help
« Reply #4 on: December 07, 2016, 04:22:43 PM »

Agree 100% about the porn. Been there done that. I also went to a men's clinic and had great response to the trimix. The doppler showed about a 30% loss in blood flow. I have not had rock hard hardons for years. And the porn only made it worse. The men's clinic new that and gave me trimix with enough of the agent to increase firmness to harden a rope. Bottom line I think it contributed to my Peyronies Disease. Try the natural route. It was hard for me to admit I wasn't as bad off as I thought. I wanted to keep my porn and have trimix for sex. Not smart,  now my dick is bent and shorter than it already was. Hoping for the best!
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #5 on: December 07, 2016, 04:39:57 PM »

Thanks for the responses, guys. My emotional state has been hindered due to my issues, so the support is pretty helpful.

I've definitely considered it to be a porn-induced problem. I start a no porn streak but cave in within a week due to horniness. I've been porn free for about a week now, and am not allowing myself to masturbate or view anything sexual. I plan on keeping this up for a couple months until hopefully my spontaneous erections return.

About the Trimix.. I'm really not sure what to think about that test. The doctor only injected about 1/5 of the medicine into my shaft because he didn't know how I'd respond to it. The resulting erection was not rock hard (maybe 90% hard). I'm not sure if this is worrisome at all since I didn't receive a full erection. Doc said the response was better than he'd expected, but he didn't seem like the most trustworthy doctor, so I don't know.

Brought my doppler results to an andrologist at a teaching hospital, and she told me the same thing: everything is fine. She gave me the Cialis treatment (which does barely anything to my EQ). She said she was 110% sure things would go back to normal for me. Her main research is focused on ED, so she's seen a lot of this.

A symptom I forgot to mention in my initial post.. My penile shaft has been numb since around March (2 months after ED onset). At first, I couldn't feel an ice cube or toothpick, but now I can feel both those sensations on most parts of the shaft. Touch is still off.. Really can't feel anything on my shaft (except foreskin). I feel like all these issues are involved with my ED.
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phoenix1647

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Re: Doppler ultrasound result help
« Reply #6 on: December 07, 2016, 06:48:07 PM »

Depression and meds can be erection killers.  I was doing therapy for a while but gave that up as it seemed to me to be making things worse. The best thing I ever did for my ED was to get a friend I could realy talk to.

Hope you do better soon. This whole ED/Peyronies Disease thing gets very frustrating, even with all the great support you will find here.
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #7 on: December 09, 2016, 10:28:02 PM »

The meds I'm on don't affect sexual function. And I really don't think this is the result of my depression. Something just seems really off about my whole ED situation. My morning erections are sparse; I sometimes wake up with a semi hard-on, but it goes away immediately after going to the bathroom. Was told by my doctor that lack of morning erections could indicate organic ED, so I really don't know what to think..
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popopo

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Re: Doppler ultrasound result help
« Reply #8 on: December 10, 2016, 05:03:49 AM »

I have scar tissue thar can be felt trough the skin (tho one urologist felt it, and another didn't so I think that's weird on itself) but my doppler ultrasound is 100 percent normal too. I've lost parts of my penis for sure in the last couple of years and the pain has been on and off, but my doppler ultrasound is fine. In the end it doesn't really matter if it'a physical or mental because there is simply not much to do for minimal damag eapecially if tests are fine, but in my honest opinion the doppler ultrasound doesn't always get the whole picture.
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #9 on: December 10, 2016, 06:34:39 PM »

I agree with your statement about the doppler not showing anything. I really don't think I have scar tissue, though. I've had 3 urologists do the "squeeze" test to check for plaques, and they said everything felt perfectly normal. The top uro I went to just deals with dicks all day long, so I trust that she would've felt something haha.

This is really a bizarre situation to be in. I haven't masturbated in about a week. Got a decent erection during a shower yesterday. Went down relatively quick, but it seemed to last longer than what I've been able to maintain recently. Hopefully this is a sign that recovery is in progress.
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mischa

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Re: Doppler ultrasound result help
« Reply #10 on: December 10, 2016, 07:20:32 PM »

Sometimes it's a slow recovery. I was able for a rare occasion to have sex last night with just a cock/ball ring. No suppository!  I was maybe 60% hard till I reached orgasm then 90+. Still have no morning or night time wood but get frequent 70% hardons when applying different topicals that I use that I have mentioned. See my urologist January second will report what he says. Every case is different so goldpeak just hang in there and hopefully something will either change for the better or in a way that your doc can make a decision. Is frustrating with some docs I know. They don't listen and don't want to think through difficult cases. I say encourage easy erections to maintain blood flow and see what happens.
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #11 on: December 11, 2016, 12:28:19 PM »

Thanks for the response mischa. Yeah, erections are definitely erratic for some. I was able to keep an erection last night by stimulating just my glans, not "jacking off." Not sure if it's due to a decreased sensation or what, but the normal jerking motion makes me lose it almost instantaneously.

Not sure what this means, but to sustain my erection for a longer period of time, I noticed that I have to maintain a kegel. This leads me to think that a venous leak is probable (since there seems to be rapid outflow of blood). The renowned uro who read my doppler report notes that my end diastolic velocity was 0 cm/sec, indicating normal erectile response and venous insufficiency.

Near the beginning of this issue, my glans sensitivity was almost nonexistent. That has since gotten better, so I guess it's not crazy to think that an increase in shaft sensitivity could follow. My uro told me to give it time and let whatever got damaged heal. Easier said than done, but I need to listen to her words and avoid all sexual contact for a couple months. Hopefully extreme improvement will follow.
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mischa

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Re: Doppler ultrasound result help
« Reply #12 on: December 11, 2016, 03:04:12 PM »

Hey goldpeak. Side note. I've been using a product called "Black Bottle" sold on amazon. It's designed to increase sensitivity. I've been using it for 5-6 weeks and I actually think it had helped. You might check it out.
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Paolo

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Re: Doppler ultrasound result help
« Reply #13 on: December 12, 2016, 03:52:27 AM »

Goldpeak93, I personally don't think Kegels are good  :-\

Kegels because of the excessive tension these exercises cause in the pelvic floor, male are not a good idea for most men, with the exception of reverse Kegels, which have benefited me. I think if anything for me they made my condition worse leading to me not being able to ejaculate without clenching first, since I stopped all but reverse Kegels I have seen improvements  :).
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Paolo

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Re: Doppler ultrasound result help
« Reply #14 on: December 12, 2016, 04:13:53 AM »

Mischa, this product seems primarily a hair supplement, it does contain 'several' vitamins however that I have been supplementing with separately, I will note it and perhaps incorporate in future  :)
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mischa

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Re: Doppler ultrasound result help
« Reply #15 on: December 12, 2016, 08:48:20 PM »

Paolo..... Although available in a hair product this was designed solely for your dick. Amazon.com - Penile Health Cream -Helps Improves Performance, Circulation & Increase Sensitivity -Relieves Redness & Chafing - Reduces Dry, Cracked, Irritated Penile Skin w/Premium Quality Natural Ing. (1) Link to commercial site deleted by moderator
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Paolo

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Re: Doppler ultrasound result help
« Reply #16 on: December 13, 2016, 03:44:14 AM »

Thanks Mischa for link  :) :)
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #17 on: December 24, 2016, 01:22:54 AM »

Mischa- I got Black Bottle about a week ago and I've been using it ever since. Hopefully this will increase the sensitivity of my shaft to some extent.

I've been having anxiety attacks concerning this issue lately, and I've basically convinced myself that my ultrasound missed a venous leak diagnosis. Of course I took this question to Google, and I found multiple reports saying that the ultrasound isn't a real reliable test for diagnosing venous leak. Rather, cavernosography is paramount in diagnosing the condition. Anyone have any comments about this?

I was able to masturbate last night (w/ constant stimulation), and I noticed that base of my penis pulsates when I have an erection. Does anyone know if this is normal? I assumed it to be rapid outflow of blood from my unit, but I could very well be wrong.

Any advice appreciated, thanks.
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mischa

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Re: Doppler ultrasound result help
« Reply #18 on: December 26, 2016, 05:16:17 PM »

Golpeak I've had pretty good results with the black bottle. I sure hope it does for you as well. I notice particularly it has helped the head sensitivity as well as the shaft. I worked in medicine my whole life. I would never trust one test especially if your having symptoms of a leak. Dr's trend to not treat people symptomatically. They rely to heavally on tests. So the question is if it's not a leak then what is wrong? Ask the question, get more tests. It's your dick you only have one. If your not happy see another doc. You know what your dick feels and should act like. We all have age changes but like you I am obsessed about my dick and what's happening to it. You are not being unreasonable or paranoid.
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #19 on: December 28, 2016, 10:31:12 PM »

Thanks for the response Mischa. I have an appointment with my uro next month, so I'll bring up all my issues to him then.

To put my mind at ease, I got the CD with my ultrasound results on it. I agree with them that everything looks fine, but it is only one test like you mentioned. My PSV and EDV values were normal, so it really doesn't look like a leak is the cause.

I know I'm not trained to read an ultrasound, but I noticed a bright white coloring in some of the images (I think the tunica albuginea). This made me consider plaquing as a possible cause behind my ED. I read online that plaques can be ID'ed on an ultrasound. I called my uro and consulted about this, and he said plaquing could not be found on an ultrasound and that I'd need to come into the office for another evaluation. I had the "squeeze" test performed on my penis by 2 trained urologists this year, and neither of them found any sort of plaquing. Since I have no pain in my penis and no curvature (when I can get erect...) they both said Peyronies is very unlikely.

I felt my flaccid penis tonight for any abnormalities, and didn't notice anything significant. How should the flaccid penis really feel upon palpation? With a light squeeze I am able to compress it, but there is a little bit of toughness/hardness (for lack of better words) along the whole penile shaft.
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mischa

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Re: Doppler ultrasound result help
« Reply #20 on: December 29, 2016, 08:09:11 AM »

There are so many different things that can cause ED. If there is a general firmness there could be some form of fibrosis. It's hard tho say. Not to be intrusive but do you watch Porn? Might seem an odd question. But extended erections from porn plus the psychological induced problems can be a contributing factor. Not saying that's the case just sayin. Also have you had a full blood panel. Diabetes and other issues can be a factor, also high blood pressure etc. I'm just recommending making sure there's nothing else going on. If thou haven't thou may get a good once over by a GP. And one that know matter how much of a pain in the a$$ (pun intended) you need a "complete" physical. Many doc's wouldn't do one. Mine basically asked what's going anf ordered some tests and he didn't check anything else. I'm 57 there's a lot more he should have done. I know i have Peyronies Disease and he never even checked my dick. I'm looking for another and at least I got my referral for a urologist. I have several medical issues and feel neglected and ignored. it's really inexcusable. Some things just are what they are. I have struggled with ED before the Peyronies Disease. I have taken supplements changed diet, stopped the porn and taken better care of my dick. I can get a hardon enough to penetrate. I obstain fron masturbation to avoid damage. Do some stretching and use topical E with dmso and absorbine jr. On application i get an 80% hardon which is good for blood flow. I massage for 3-5 minutes. If I'm lacking firmness I use transurethtal suppositiries or a very soft plyable around the cock and ball ring. You just have to trty different things and find a doc willing to help. Let me know how it goes.
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kovasis

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Re: Doppler ultrasound result help
« Reply #21 on: December 29, 2016, 10:42:06 AM »

goldpeak93
I expirience somethinng similar to your Problem - only different is that (the during last Weeks the EQ has improved a little bit).

I had a caversonography which say Everything is OK and there was no abnormal things found at my penis .
No (worse) curvature (just a sligtht one - that i Maybe ever had to the left and upwards) .

I have a really good palpable Plaque ? (inbetween I'm not sure how to call that - even the Dr. didnt really know)  the goes half around the at the Base (dorsal).

No my ED Problem is that when I change the Postition (with her on top) - The Erection almost imedialtly went away - while in Missionary I can Maintain the Erection about 10 or 20 Minutes (ofm course with Sildenafil once an 5mg Cialis daily) .

I told the Dr. - his amswer was "mabe you dont like that position - HAHA...

What I think is that there is an issue that only apeears in that special Postion - maybe there is something similar going on in your case ...

This means maybe a Test (Doppler or caversonography ) should be performed with testing the different positons (not just lay on the Back ) - but manipulate - maybe immitate an intercourse situatuion (But i dont think that any Dr. will test like that and I really dont know whow...)

So just an suggestion - maybe it is postion depending - besides of course some mental Problem also

mG
kovasis

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goldpeak93

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Re: Doppler ultrasound result help
« Reply #22 on: December 29, 2016, 06:02:04 PM »

Thanks for the reply, kovasis.

Just found my uro's curriculum vitae, and it ended up putting my mind more at ease. She is a professor at a well-known medical facility who has undergone advanced training in Male Sexual Dysfunction and Peyronies in the last couple years. If anyone's going to find an issue with my penis, it's would've been her.

I reread her dictation from my appointment, and it says my doppler ultrasound results virtually rule out the chance of a venous leak. I know it is said that the DUS is not completely reliable in diagnosing VL, but I am willing to believe her assumption since she performs and reads these tests on a daily basis. It was also noted that my flaccid penis felt completely normal (no plaquing). 

I'm hoping to see her again within the next month to see if she has any recommendations on my current condition.
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #23 on: January 12, 2017, 07:50:38 PM »

I've started a no porn/masturbation streak, so hopefully this helps something.

My searches online recently led me to corporal fibrosis. Do my symptoms align with typical CF symptoms? The only symptoms I have now are inability to maintain erection, "hard flaccid" with light exercise/activity, and shaft numbness. With no physical activity, I think my flaccid feels normal. My flaccid state has a firmness to it, but my andrologist didn't seem appalled by that. I am able to lightly squeeze it, so it's not completely hard, just slightly firm. The penis pain I posted about a couple weeks gone has completely disappeared, so I guess that's a good sign.

Any advice appreciated.
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mischa

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Re: Doppler ultrasound result help
« Reply #24 on: January 12, 2017, 08:57:25 PM »

Golpeak, it sounds like your at least moving o.j. the right direction albeit slowly. It took me 6-8 months to be able too maintain an adequate hardon and even than most often need almost constant stimulation. Stick with it!
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lessor

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Re: Doppler ultrasound result help
« Reply #25 on: March 17, 2017, 01:39:03 PM »

From my own experience and the experience of other people who i have talked about this:
doppler many times doesnt show the leaks for sure, for sure sure, and cavernosography even though it is better than the Doppler doesnt show all the leaks, in example if you have a leak in the superficial dorsal vein or externals pudendal veins doppler doesnt show sure, and cavernosograpy neither.

Then this text arent definitive.
Do not settle for being told that you do not have problems that is psychological

It is the easy path of the doctor when he does not know what to say
If you do not have erections in the morning or they are weaks and they will fall when you get up if you do not have spontaneous erections if you do not maintain the erection, if pills dont work if even trimix didnt give you a complete erection then that of psychological is nothing

Find another doctor who heeds you and works hard in your case
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Willywonka

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Re: Doppler ultrasound result help
« Reply #26 on: March 17, 2017, 06:45:23 PM »

Goldpeak, I am doubtful that a doppler can diagnose venous leakage. I was diagnosed with venous leakage in the mid-1980s, after papaverine injections failed to produce much result. My symptoms sound exactly like yours.

The diagnosis was started with overnight monitoring of night erections, then the scan (which found nothing wrong), but got much more complicated, involving arterial and venous blood pressure measurements, some with isotope traces, followed by a saline solution pressure induced erection, which occurred at a pressure which indicated the problem. I had a venous resection of the third vein, and there followed 5 or 6 years of normal erections, after which the hydraulics reverted and the problem returned. This is all very old fashioned nowadays.

The latest that I understand is that "venous leakage" is a medical misnomer. The instances of an actual abnormal vein are very rare. "Venous leakage" symptoms are a result of soft tissue disease - the tissue doesn't relax or dilate sufficiently to start the process. That is why you get the "soft" erection, and no more. That is also why the surgical resection of the vein doesn't work in the long run. All you are doing is putting a turbo charger on a dud engine - works for a while, but not a solution. There is a really good description of venous leakage on the site somewhere.

I simply used VED and the compression ring. After a while I found that I could get a half erection sufficient to pop a ring over, and manually massage blood into the penis from the base, so seldom used the VED. Using the ring has been accused of causing the sort of micro injuries that result in Peyronies Disease if you are prone to it, which I am. I also have Dupuytren's disease, and 10% of those sufferers will get Peyronies Disease. I have lately found the prostaglandin injections are working, but time will tell.

Perhaps you need to be quite assertive with getting advice and make sure you are happy with what you are being told.
But there is a solution that will suit you, and if you keep looking, you will find it.  All the best.

Ww




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james1947

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Re: Doppler ultrasound result help
« Reply #27 on: March 18, 2017, 01:57:20 AM »

Willywonka

Doppler ultrasound with injection induced erection is the standard procedure today to detect venous leakage.
This is how I was diagnosed and also many other forum members

James
 
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melting

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Re: Doppler ultrasound result help
« Reply #28 on: March 18, 2017, 07:52:32 PM »

Sounds like unbalanced Pelvic Floor.(which leads to "hard flaccid") There is a lot about this out there.
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Willywonka

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Re: Doppler ultrasound result help
« Reply #29 on: March 19, 2017, 06:29:06 AM »

James,
"Doppler ultrasound with injection induced erection is the standard procedure today..."
Yes, but is it always reliable, is my concern.
See "The false diagnosis of venous leak: prevalence and predictors" https://www.ncbi.nlm.nih.gov/pubmed/21569215.
After three decades of experience of standard medical procedures that change all the time, I have learned to have a healthy scepticism of whatever the current wisdom is.
Ww
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james1947

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Re: Doppler ultrasound result help
« Reply #30 on: March 19, 2017, 06:51:14 AM »

Yes Willywonka, depends also on the doctor capability :)

James
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Re: Doppler ultrasound result help
« Reply #31 on: March 19, 2017, 03:55:43 PM »

No Doppler is not definitive.
I would advise you to get a cavernosography or even better a CT 3D cavernosography
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #32 on: April 02, 2017, 04:03:01 PM »

Thanks all for the responses.

Went to the Men's Health specialist at Mayo Clinic, and he came to the same conclusion as my previous doctors. He claims that he sees guys my age with ED on a daily basis. He thinks nightly Viagra will long-term cure my ED. I've been on it for a month now, and I'm noticing some improvement in my erection quality. I frequently wake up with 80% morning wood, so that's definitely a plus. EQ for sex and masturbation is still bad, but I do feel like the medicine is having some effect.

He is certain that there is nothing physically wrong with my penis. He didn't feel like another doppler ultrasound was necessary, but he did so to put my mind at ease. Last US, I was given too much medication which resulted in a couple hour long erection. This time, he used the minimum dosage, .05 mcg, and my results were great. I expressed my concern about the validity of the doppler in diagnosing venous leak, but he assured me that a true venous leak wouldn't allow "normal" test results for 2 exams. I'm willing to believe him since he is well-published in his field and it sounds like he's seen it all. While he thinks my ED is caused by hyperadrenergic factors, I really believe he's being truthful in saying I don't have a VL. Contrary to my previous urologists, he was receptive to all of my questions, went over the doppler with me, and explained the mechanisms of an erection and VL. Mayo Clinic is the #1 urology clinic in the nation, so if anyone was going to find a deformity, it would be them.
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james1947

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Re: Doppler ultrasound result help
« Reply #33 on: April 02, 2017, 04:29:01 PM »

As I said:
A good doctor will be compassionate, listen, answer to questions and explain the results :)
I think his telling you the truth regarding VL. He don't have any interest to hide the truth from you.
Regarding the daily Viagra, it helped and helping me even I have VL

James
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #34 on: April 02, 2017, 04:55:03 PM »

Great to hear, James. When I masturbate now, my erections get firmer and I can maintain it a little longer, it just goes back down soon without stimulation. I keep trying to quit masturbation thinking that may help my issue more, but I keep relapsing.
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PeetyPeet

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Re: Doppler ultrasound result help
« Reply #35 on: April 03, 2017, 03:53:02 AM »

Hi all,

Just a few things based on previous forum posts and some reading I've been doing recently.

Venous leak - or 'Corporal Veno-Occlusive Dysfunction' - to give it it's technical title, refers specifically to the inability to compress the emissary 'outflow' veins which run beneath the Buck's Fascia. This compression only occurs when the corpus cavernosum is sufficiently engorged to press against the Buck's Fascia thereby compressing the emissary veins and preventing blood outflow.

By this definition anyone with organic Ed, whatever the initial cause, is technically suffering to a greater or lesser extent with venous leak.

Having said that, in practice, clinicians appear to see venous leak as excessive outflow even when the corpus cavernosum is engorged to a point when one would normally expect outflow to be minimal. According to one urological registrar I have seen a typically sign of 'classic' venous leak is an initial full erection which subsides almost as quickly as it became rigid.

The best test for venous leak is a cavernosography, where an erection is artificially induced using caverject and a dye is injected into the penis to monitor blood flow. This link describes the process. New Radiology.

I had a caversonography back in 2005-6. Alas, my memory is hazy. Before an erection was induced, a tube was inserted into my penis at the base and this continually circulated dye around my penis. One could see via live feed the contrast dye moving around the penis. Once a reasonable erection was achieved the dye stopped flowing of out and was contained in the penis. Conclusion: I did not have leak.

When it comes to a doppler ultrasound, my understanding is that it is good at detecting hardened tissues or plaque, particularly on the tunica albuginea, and it can also measure inflow if the gun is placed on the perineum. It isn't so good at measuring outflow however.

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goldpeak93

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Re: Doppler ultrasound result help
« Reply #36 on: April 06, 2017, 05:06:05 PM »

Peety,

I appreciate the response, but I personally disagree with your opinion of the doppler. It's easy to pull information from the internet and claim it to be true, but the words of a specialist are far more reliable. I was wary about the first ultrasound I received since the urologist didn't seem all that competent. Those results were great, but I was unable to put my mind at complete ease. At Mayo Clinic, I met with an andrologist and 2 of his partners. The andrologist who performed my DUS there almost completely settled my mind, though. When he was going over the results with me, I asked him if these tests were conclusive for VL. He claims they are highly accurate, even though there is some room for error like there is for any other diagnostic test. In the end, he said my DUS results would be unachievable if I was suffering from a true leak. All 3 Mayo urologists consulted, all coming up with the same conclusion.

This post isn't meant to sound argumentative since we are all open to are own thoughts and beliefs, I just think it is easy to play the role of "online doctor" and give information that we only believe to be true.
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lessor

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Re: Doppler ultrasound result help
« Reply #37 on: April 06, 2017, 05:56:46 PM »

I had two doppler and it showed everything was great, doctors said it is good , there isnt venous leak.
I continued having the symptons of venous leak, then I did a cavernosography and it showed an enormous leak. Other cavernosography showed the same, but dopplers said everything was good.
That should make you think about it
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goldpeak93

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Re: Doppler ultrasound result help
« Reply #38 on: April 06, 2017, 06:20:23 PM »

Lessor,

I brought up cavernosography to my andro, and he said the results would be relatively similar to the DUS, so it is rarely if ever performed at Mayo. While the cavernosography may be better at showing a leak in some situations, he said 2 DUS with little no know venous outflow would make the test useless. A lot can be said about the doctor performing the DUS, as well. He said that many clinics don't do many of these tests, so they may not be as accurate when doing them. Having had mine done by 2 sexual health speciliasts, I am confident that they were meticulous with their measurements.
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PeetyPeet

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Re: Doppler ultrasound result help
« Reply #39 on: April 07, 2017, 05:51:13 AM »

This post isn't meant to sound argumentative since we are all open to are own thoughts and beliefs, I just think it is easy to play the role of "online doctor" and give information that we only believe to be true.

I think polite disagreement is perfectly healthy and would encourage it. If all urologists had a similar attitude I think a lot less disgruntled peyronies sufferers would be joining the forum.

I'm glad you've found a professional that you can trust. That your andrologist acknowledged the potential for error is great and adds weight to his conclusion. You're right, one has to take anything read on the internet with a pinch of salt.

Best

Peety
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Christopher1

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Re: Doppler ultrasound result help
« Reply #40 on: April 09, 2017, 02:59:27 AM »

Quote deleted by moderator! Please read the forum rules!
Answer by click on REPLAY and not by click on Quote button


The trimix injections can cause Peyronies Disease. Be very, very careful.

It happened to me that way.

Christopher1

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Re: Doppler ultrasound result help
« Reply #41 on: April 09, 2017, 03:03:11 AM »

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In your case, I would consider stopping masturbation, high-dose testosterone/hGH injection to remodel the tissue, and shockwave therapy.

Expensive, but you need to remodel the tissues.

If that does not work, consider the implant.

lessor

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Re: Doppler ultrasound result help
« Reply #42 on: April 09, 2017, 04:30:56 AM »

shockwave therapy is a waste of money..Stopping the masturbation wont heal venous leak, my testorene is good I am already considering an implant. Thanks for the lesson
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Christopher1

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Re: Doppler ultrasound result help
« Reply #43 on: April 09, 2017, 01:06:01 PM »

Shockwave is not a waste.

I had it. It worked.

Willywonka

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Re: Doppler ultrasound result help
« Reply #44 on: April 14, 2017, 05:44:27 AM »

Peety,
"I think polite disagreement is perfectly healthy and would encourage it. If all urologists had a similar attitude I think a lot less disgruntled peyronies sufferers would be joining the forum."

I thoroughly agree, and to Goldpeak, I think you have made an informed decision, which is all any of us can do.
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james1947

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Re: Doppler ultrasound result help
« Reply #45 on: April 14, 2017, 05:55:23 PM »

Christopher

Can you post a longer post than 4 or 5 words and explain:
Quote
Shockwave is not a waste. I had it. It worked.

James
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Christopher1

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Re: Doppler ultrasound result help
« Reply #46 on: April 16, 2017, 12:08:32 PM »

I realize n=1 is not sufficient to make any claims about a procedure.

But I looked into the European research that has been done. It seems to be without significant side effects, too. I recommend it for ED - not Peyronies Disease.

melting

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Re: Doppler ultrasound result help
« Reply #47 on: April 16, 2017, 04:55:11 PM »

If you think to destroy peyronies tissue just by shockwave common sense says that it probably wont be enough.
But mixing it with the other arsenal it might help. IMO its key with peyronies to attack from many angles.
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james1947

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Re: Doppler ultrasound result help
« Reply #48 on: April 17, 2017, 04:10:34 AM »

Christopher

My apology for bothering you.
Can you explain how Shockwave worked for you?
I had an opportunity to make this therapy and I didn't, so maybe I will change my mind

James
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Christopher1

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Re: Doppler ultrasound result help
« Reply #49 on: April 17, 2017, 02:02:45 PM »

My ED was unresponsive to viagra and cialis.

After the shockwave therapy, I got spontaneous erections again. Were they as strong as when I was 20 years old? Of course not. But I think my erections got 40% stronger. I am pleased with the results.
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