Penile Ultrasound to Diagnose

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twilli

Hey guys, I wondered if anyone on here could tell me if the penile ultrasound the urologists use to examine the peyronie's disease is a painful procedure. What do the urologists actually do when they perform the ultrasound? I am currently trying to see a specialist at Emory in the Atlanta, Georgia area named Chad Rittneur. Anyone heard of him?

Skjaldborg

twilli,

I had an ultrasound performed by Dr. Lue (a well-known male sexual health specialist) last October. The procedure involved me laying on my back while they moved a lubed up ultrasound wand along the shaft of my flaccid penis. They pulled and stretched "the business" a bit, but it was not painful at all. They did not require that I have an erection so no injections were done (some urologists want to do the ultrasound while you have an erection, some don't). I believe the full color doppler ultrasound requires an erection to see how much blood is flowing in the penis whereas my ultrasound was just to see the location of the Peyronie's plaques. It depends on the procedure.

It's not a scary or painful procedure and it's really a good thing that you are taking charge and having the procedure done. Best of luck and keep us informed.

-Skjald


LWillisjr

I had a similar experience but also had it while flacid and erect. Click on the globe to the left and ir will take you to my site where I explain the whole procedure.
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

YMENOW

I had two of them by two different specialists and both hurt like hell.  Perhaps they injected me to the point of no return and I thought I was going to burst.  The first one had me with an erection for nearly over 4 hours.  I tried to contact the doctor but he closed shop and I didn't know what to do; and was embarrassed to go to the emergency room.  I tried everything but finally it did go down.

I told the other doctor about the painful experience previously and hoped he would go by the other doctors analysis, but he wanted to find out for himself.   He assured me  he wasn't going to hurt me.  Well, good thing I had it in the morning because I told the doctor I wasn't going to leave the office until I had no erection.  I hoped it would subside within an hour but that wasn't the case.  I was in excruciating pain because the erection seemed to grow and walking around or pacing in the waiting room didn't help.  Finally I insisted that the doctor do the procedure to medically get rid of the erection.  I didn't know what they were going to do.  This was even more painful since they stuck a needle into the penis and drew blood from it by moving the syringe around.

Anyway, I won't have anymore of that since I am using the VED and I am doing well, I believe.  I am going to my urologist to inform him how this site and everyone here has helped me more than he and his "specialist" that he referred me to.

Good luck to you, but be careful to ensure that you have a number to call in case of prolonged erection...

ymn

newguy

YMENOW - Yikes, scray stuff. Thank goodness your erection went down at four hours. That wass seriously entering medical emergency territory.

LWillisjr

Where did you have this done? I had not heard of anyone having this type of experience. Typically if your erection doesn't subside within 20 minutes of an ultrasound they give you and injection that causes it to subside. I have NEVER heard of draining blood out to make an erection subside. And certainly the one doc should not have released you until things were back to normal. This is borderline irresponsible in my opinion.
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

hb

I have heard of the "draining process". Sometimes it is used to get the blood out quickly. I'm on Trimix, was using Caverject and found that both of the injection drugs actually worked better by walking around. So your walking around/pacing actually increased the effect of the injections.

To reverse the effect, I lay on my right or left side and I go limp pretty quickly. But if I jump up and walk around very much, I will get rock hard again. This is all within the first hour or so.  

Old Man

Note to all:

This is a tip from my uro about "getting down" after an injection of the ED drugs. He prescribed that I take an OTC antihistamine. This works great to help alter the "after effects" of the injections as well as the pills. Priapism can and will cause much damage to the erectile tissue. Any erection lasting 4 hours or more must be drained down as quickly as possible. If not, the tissue can be damaged all repair efforts according to my uro group.

Just be careful not to take an overdose of the downer pills as they can cause nasal problems and dry mouth conditions.

Old Man
Age 92. Peyronies Disease at age 24, Peyronies Disease after
stage four radical prostatectomy in 1995, Heart surgery 2004 with three bypasses/three stents.
Three more stents in 2016. Hiatal hernia surgery 2017 with 1/3 stomach reduction. Many other surgeries too.

diminishedhope

Quote from: twilli on June 12, 2010, 11:41:26 PM
Hey guys, I wondered if anyone on here could tell me if the penile ultrasound the urologists use to examine the peyronie's disease is a painful procedure. What do the urologists actually do when they perform the ultrasound? I am currently trying to see a specialist at Emory in the Atlanta, Georgia area named Chad Rittneur. Anyone heard of him?
Well my experience was not really very painful. My penile ultrasound was performed by the ultrasound technician as directed by the group of urologists that were handling my case. The urologists all agreed that no injections to induce erections should be given based on my ongoing succeptibility to priapismic episodes. So all exams were done in flaccid state. The ultrasound revealed a fistula in an erectile chamber's artery. They assumed that it would be better identified by doing a scan with dye injected as an MRI is focused monitoring the dye through my penile bloodflow. This was expensive and evasive and quite painful during recovery (the arteial puncture site was sore for more than a month). I wish I had only needed the ultrasound because it was basically painless but that could be different in each man case. Both tests were conclusive to indication of the plaque right where it was felt digitally. The MRI scan also confirmed fibrosis in both corporal cavernosums but much more in one side.
Ultrasound proceedure was basically laying and temporarily changing positions during the proceedure. The technician applied a gel lubricant to my penis and pressed the blunt sensor wand momentarily against all sides of my penis throughout the entire data recording time. The technician had to take breaks to save electronic images on the ultrasound image equipment each time he located points of potential interest for the urologists to review later. The proceedure lasted about an hour.
-diminishedhope  
Long time sufferer of penile problems; Recurrent Priapism, nerve damage/numbness, plus 4yrs with Peyronies Disease

Brightdog

My first ultrasound was done in a flaccid state - and then the surgeon sent me back for one with an induced erection. I had warned them that erections of ANY kind hurt - but I was still injected with a high enough dose that I was hard for 4 hours. They only needed 40 minutes to perform the ultrasounds.

The surgeon wanted to repeat the procedure in his office, and I objected. He gave me the minimum dose and warned me I would have to "do the work" myself - which was no problem. So that time I was only erect for about 20 minutes.

All three times there was pain. The ultrasound technician had to move my penis around in ways that were obstructed by the Peyronies Disease - and painful. And the erections - not only did they already hurt, but the people examining me tried straightening my penis to get a better idea of what was going on. I thought I would pass out from the pain. I screamed instead.

peyroninsidepglans

they don't normally need the penis erect to do the penile ultra sound so It doesn't hurt or at least didn't hurt me, it is quite uncomfortable though, made me a bit sad that day, as I have an interesting pyronies diseases, mine is actually in the head of the penis in the left gland penis seing it on the ultrusound just confiremd what the uroligist said pyronies inside glans of penis , damn i hate this disease,


peyroninsidepglans

Quote from: Brightdog on August 26, 2010, 05:45:55 PM
My first ultrasound was done in a flaccid state - and then the surgeon sent me back for one with an induced erection. I had warned them that erections of ANY kind hurt - but I was still injected with a high enough dose that I was hard for 4 hours. They only needed 40 minutes to perform the ultrasounds.

The surgeon wanted to repeat the procedure in his office, and I objected. He gave me the minimum dose and warned me I would have to "do the work" myself - which was no problem. So that time I was only erect for about 20 minutes.

All three times there was pain. The ultrasound technician had to move my penis around in ways that were obstructed by the Peyronies Disease - and painful. And the erections - not only did they already hurt, but the people examining me tried straightening my penis to get a better idea of what was going on. I thought I would pass out from the pain. I screamed instead.

I am wondering weather they could simplify this induce erection method, since we all have trouble getting erect with pyronies, maybe if we could give ourselves induced erections every day could keep the blood flowing and maybe improve the problem and reduce the fibrosis maybe use it along with neprinol or another blood thining medication?

jackp

To get a complete diagnosis the entire Doppler procedure needs to be done. This can evaluate you for both corporal fibrosis and venous leakage. Don't just do it half way.  ???

As for blood thinner that works well for blood flow to the glans but do not do it without going to a heart doctor you could cause other problems. (Been there Done That).

Try something like 5mg of daily Cialis. There is a free coupon at www.cialis.com or from your urologist. This may or may not work. Worth the try.

Jackp


Brightdog

Quote from: peyroninsidepglans on August 31, 2010, 04:36:59 AM
I am wondering weather they could simplify this induce erection method, since we all have trouble getting erect with pyronies, maybe if we could give ourselves induced erections every day could keep the blood flowing and maybe improve the problem and reduce the fibrosis maybe use it along with neprinol or another blood thining medication?

I had no trouble getting erect with Peyronies Disease. My erections were really hard - that was part of what was causing the pain. I am looking forward to seeing what the surgeon has to say this coming week at my 6-week follow-up. He has some explaining to do about how my case is being handled.  

LWillisjr

I agree with Brightdog. We need to be careful not to assume everyone with Peyronies Disease has ED.

Many on the forum have had no problem with achieving and maintaining an erection, but still have scarring and curvature with Peyronies Disease.
Developed peyronies 2007 - 70 degree dorsal curve
Traction/MEDs/Injections/Surgery 2008 16 years Peyronies free now
My History

chiguy

I remember my ultrasound last December. I was convinced I was developing ED, but the ultrasound showed everything was normal. Then I went back to a normal state of mind and all functions returned. I would be worried if a doctor closed up shop while a patient was finishing up a procedure such as an ultrasound. It's very dangerous as others have stated to have a four hour erection, let alone a four hour chemically induced erection.