PENILE DOPPLER WITH TABLET/INJECTION ULTRASOUND SCAN
Also Known As
SENIOR
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FAMILY
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Certified Labs
NABH Accredited
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About The Test
What this scan checks and why it matters
- Blood flow velocity in the penile arteries
- Venous leak that prevents sustained erections
- Plaque or scarring (Peyronie’s) that may block circulation
How Cadabams Diagnostics simplifies the process
- Same-day appointments
- Private, sound-proof rooms
- Immediate digital report emailed to you and your doctor
What is Penile Doppler with Tablet/Injection Ultrasound Scan?
Definition and technology behind Doppler ultrasound
A high-frequency sound-wave probe measures how fast blood moves through the cavernosal arteries—no X-rays, no radiation.
Role of tablet or injection (vasodilator)
- Tablet option: dissolve sildenafil under the tongue to encourage natural erection
- Injection option: a tiny dose of prostaglandin E1 is delivered with an insulin-type needle for faster, reliable results
Difference between standard ultrasound and penile Doppler
Standard imaging shows shape; Doppler adds motion, revealing direction and speed of blood flow critical for diagnosing vascular ED.
Types of Penile Doppler Scans
- Color Doppler ultrasound scan – maps arteries in red/blue
- Spectral Doppler waveform analysis – graphs velocity curves
- Dynamic infusion pharmacocavernosometry – optional stress test for venous leak
List of Parameters
Parameter | Normal Range | Clinical Meaning |
---|---|---|
Peak Systolic Velocity (PSV) | ≥30 cm/s | Healthy inflow |
End-Diastolic Velocity (EDV) | ≤5 cm/s | Efficient venous trapping |
Resistive Index (RI) | ≥0.9 | Low venous leak |
Arterial diameter | ≥0.7 mm increase after vasodilator | Responsive vessels |
Why This Test
- Persistent ED after lifestyle changes
- Pre-surgical planning (penile implant, vascular bypass)
- Post-trauma evaluation (fracture or pelvic injury)
- Peyronie’s disease with suspected vascular compromise
When to Take Test
Symptoms that prompt referral
- Erections too weak for penetration
- Loss of erection quickly despite stimulation
- Delayed onset (>10 min) after arousal
Age groups commonly screened
- 25–40 yrs: early vascular disease or trauma
- 40–60 yrs: most common, often linked to diabetes or hypertension
- 60+ yrs: pre-surgical assessment before implants
Distinguishing vascular vs. psychogenic erectile dysfunction
A normal Doppler with rapid erection suggests psychological causes; reduced flow confirms arterial or venous issues.
Benefits
Benefits of Taking the Penile Doppler Ultrasound
- Non-invasive with real-time imaging
- Guides targeted treatment (medication, stent, or implant)
- Reduces trial-and-error of oral drugs
- Restores confidence with objective data
Illnesses Diagnosed with Penile Doppler Ultrasound
- Arteriogenic erectile dysfunction – clogged penile arteries
- Venous leak – blood escapes too quickly
- Peyronie’s plaque with vascular compression
- Post-traumatic arterial insufficiency
Preparing for test
- No overnight fasting required
- Shave or trim pubic hair for probe contact
- List current medications, especially nitrates or anticoagulants
- Bring ID and any prior lab reports
Pre-requisites & Best Time to Take the Scan
- Stable BP and pulse (<140/90 mmHg, HR 60–100)
- Morning slots reduce stress and caffeine levels
- Avoid smoking and coffee 4–6 hrs before test
Eligibility
Ideal candidates
- Adult males ≥18 yrs with suspected vascular ED
Contra-indications
- Severe unstable angina or MI within 3 months
- Known hypersensitivity to alprostadil or sildenafil
Procedure for Taking a Penile Doppler Ultrasound
- Privacy assured: supine on cushioned exam table with drapes.
- Baseline scan: grayscale imaging of corpora cavernosa.
- Stimulation: tablet under tongue OR micro-injection at base.
- Monitoring: continuous Doppler for 20–30 min; technician captures waveforms at 5-min intervals.
- Documentation: color snapshots and PSV/EDV readings stored on cloud portal.
Caution Before Taking the Test
- Inform staff if on warfarin, DOACs, or antiplatelets.
- Report history of priapism (>4 hrs).
- Arrange ride home if choosing injection option (rare dizziness).
Test Results
Results and Interpretations
Finding / Observation | Description | General Interpretation / Significance |
---|---|---|
PSV 15 cm/s | Reduced arterial inflow | Likely arteriogenic ED |
EDV 10 cm/s | High diastolic flow | Venous leak present |
RI 0.6 | Low resistive index | Mixed vascular issue |
Normal PSV ≥35 cm/s | Excellent inflow | Psychogenic or neurogenic ED more likely |
Risks & Limitations
- Minimal risk: ultrasound is radiation-free
- Injection side-effects: mild pain, bruising, or priapism (<1 %)
- Limitations: very obese patients or severe arterial calcification can obscure readings
FAQs
Is the injection painful?
Most men report a quick sting similar to an insulin shot; numbing spray is available.
How long do results take?
30 minutes after the scan ends.
Can I resume sexual activity the same day?
Yes, once any erection fully subsides—usually within 1–2 hours.
Are repeat scans ever needed?
Occasionally, 3–6 months later to monitor stent or medication response.
What if no arterial flow is detected?
Your doctor may refer for angiography or discuss penile prosthesis as next step.