Blood tests are all ok!
Pills not work. I never try injections.
I'm thinkink on inflatable implant.
Any advice that might help?
PENIAL ECO-DOPPLER
Technique: An ultrasound study was carried out with a 10 MHz multi-frequency probe. A Triplex morphological and hemodynamic study was performed after intracavernous injection of 10 mg of PGE1.
Morphological Study:
The cavernous bodies have normal morphology and ecostructure, with no signs of calcifications or fibrosis zones.
Cavernous arteries with a linear course, normal caliber and without morphological alterations.
Hemodynamic Study:
Early phase (5 min):
Normal velocities were observed in both cavernous arteries with low resistance flow characteristic of this induction phase.
The speeds obtained were as follows:
R L
Maximum speed - 35cm (m/s) 35cm (m/s)
Minimum speed - 13cm (m/s) 15cm (m/s)
Late phase (15m):
A satisfactory erection was achieved at an angle of less than 90° to the abdominal wall. The velocities obtained in both cavernous arteries are within
Normal limits. However, positive diastolic velocities that are not characteristic of this phase continue to be observed. There was also a flow in the dorsal
Vein of the penis with a persistent character and with increased speeds (20cm/sec).
The speeds obtained were as follows:
R L
Maximum speed - 42cm (m/s) 55cm (m/s)
Minimum speed - 5.1cm (m/s) 3.7cm (m/s)
Conclusions:
The morphological study did not reveal alterations worthy of reference in the corpora cavernosa, namely areas of fibrosis or defined calcifications.
In the Doppler study, no signs of arterial insufficiency were observed.
However, there was persistent flow in the dorsal vein of the penis and positive diastolic velocities of the cavernous arteries in the late phase, aspects
Compatible with some degree of venous/occlusive incompetence to be valued according to the patient’s clinical data.
