Doppler
Plain-English guide for patients and families.
Penile duplex Doppler evaluates arterial inflow and venous leakage in vasculogenic erectile dysfunction when clinically appropriate. It helps plan medical or surgical options and documents severity.
Fertility link
When ED prevents conception, treating ED or using assisted reproduction runs in parallel.
AI Information
EducationalPenile Doppler ultrasound is a specialised diagnostic test that evaluates the vascular causes of erectile dysfunction. By measuring blood flow velocities before and after intracavernosal injection of a vasodilator (usually alprostadil), it can differentiate between arterial insufficiency, venous leak, and mixed vascular ED — guiding targeted treatment.
Key Points
- The test measures peak systolic velocity (PSV) and end-diastolic velocity (EDV) in the cavernosal arteries.
- PSV >25 cm/s is generally normal; <25 cm/s suggests arterial insufficiency.
- Persistent high EDV indicates venous leak (corporal veno-occlusive dysfunction).
- Results guide treatment: PDE5 inhibitors for mild vascular ED, vacuum devices, or surgical options for severe cases.
- The test takes 20–30 minutes and is performed in a private clinical setting.
Who Should Know This?
Men with erectile dysfunction not responding to first-line medications, those with a history of pelvic trauma or surgery, young men with ED (to rule out vascular causes), and anyone considering surgical ED treatment.
Clinical Context in Pakistan
Penile Doppler ultrasound is available through the IVF Experts Lahore network of specialists. Results are integrated with the fertility treatment plan by Dr. Adnan Jabbar to ensure both ED management and reproductive goals are addressed.
Important Disclaimer
This AI-generated summary is for educational purposes only and should not replace professional medical advice. Always consult with Dr. Adnan Jabbar or your fertility specialist for personalised clinical guidance tailored to your specific situation.
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