Can i doppler scan works if i was not erect ?

[vincentmh]

32 years old and hopping to get a penile implant soon : no random boners in years, no morning erections in years. can't get erect at all manually, can't have sex. pills don't work (they get me a half chub) basically i can't remember last time i had a real erection (must be years ago)
(p.s. all my blood test are great, high test, etc) + it's not a mental stress problem, it's very physical.

I finally went for a penile ultrasound exam with a top urologist in canadal. He is one of the only 3 doctors in Quebec province that performs penile implant so i figured out that he was competent. (steinberg urology in montreal)

He injected me with low dose and gave me 10 min to try to get an erection even if I told him i have not been able to get an erection manually. Even with the injection, a poor half chub is all i could do. He told me it was enough to do the exam and didnt bother to inject me again to try me to get me harder. is that weird ?! he wanted to rush the exam ?

Result of the exam and 700$ later, he said everything was fine and i had good blood flow, no leakage, and more ''in'' flow of blood than ''out'' flow. he also stated no peyronnies and did not suspect plaque in my penile veins. Also stated i have a strong femoral pulse which is supposed to be good..

I feel completely lost now, he tried to put me again on 5mg daily cialis when i already told him it,s not working. my last hope was an implant but he told me he would not performs it on me because of my young age and my good overall health. i feel hopeless now..

[Kodixx]

vincentmh, any update since you posted this ? I can't answer the question in your Subject, but, IMHO I think you need to find a urologist that treats ED. Or, if this Dr claims to treat ED, then there should be a care plan that includes a progression of steps to diagnose and treat the condition.

Ask him what the care plan is -- if he doesn't have one ask him if he can refer you to someone who treats ED.

- Chuck

I finally went for a penile ultrasound exam with a top urologist in canadal. He is one of the only 3 doctors in Quebec province that performs penile implant so i figured out that he was competent. (steinberg urology in montreal). my last hope was an implant but he told me he would not performs it on me because of my young age and my good overall health. i feel hopeless now..

[Alan810]

Vincentmh,

Have you tried to see if can get an erection using a VED? If you are erect in the tube, that at least tells you that you're capable of one. Buy an cheap one to try - If you find that you can, then you might purchase a medical quality VED and use a rings.

[vincentmh]

Vincentmh,

Have you tried to see if can get an erection using a VED? If you are erect in the tube, that at least tells you that you're capable of one. Buy an cheap one to try - If you find that you can, then you might purchase a medical quality VED and use a rings.

i tried some on amazon but it never worked. but i think it was useless ones. do you have any great recommendations ? the FDA approved ones on google are like 300$ +.. i would love somehting cheaper.

[HeavyMetalFan]

I have absolutely no idea what I’m talking about. But I’m going to make stuff up anyway.

Dopplers are shit. They take a “snapshot” of your arterial inflow rate and venous outflow rate. But they don’t measure volume in or volume out. They also don’t measure every vein out.

Do I care if a speck of blood is shooting into my dick at warp speed? No. I want a tsunami of blood going at walking speed.

Fact is, intracavernosal injections are meant to induce an erection so long as your heart still beats. If they don’t, then here’s the explanations:

1: you were mega stressed
2: you’re acutely ill and don’t know it
3: you have a physiological problem with your blood supply to your dick
4: it was an anomaly and next time it’ll work

The results are not pragmatic, anyway. It makes no difference to your treatment outcomes if you break world records on your Doppler results.

Doppler scans are garbage cans where people can be thrown into so that the doctor doesn’t have to do his job. Same with psychogenic ED.

I wish I could be a doctor specialising in ED. My job would be so easy.

“You got stressed once three weeks ago? Psychogenic ED is my diagnosis. There’s the door. Don’t forget to pay at the desk”

“I measured one artery and one vein and this one time the blood in the artery moved faster than the blood in the vein. I think you’re just a cunt. There’s the door. Don’t forget to pay at the desk”.

“You’re not an 85-year-old diabetic with an excised prostate. Fuck off”

As for what you can do, I dunno. Complain? Go somewhere else?

[WillPower]

Im having another doppler tomorrow. My first was like 8 years ago. The AI assistant I asked said that you need to be hard for them to properly diagnose venous leak. My Urologist said otherwise. Granted I put only mild trust in my Uro. Maybe sometime Ill post the reasons.

Hope this doesnt break any forum rules. But My AI pal says...

Why you need to be hard (for the VOD question): the “veno-occlusive” mechanism only fully turns on when the corpora expand enough to compress the outflow veins against the tunica (the “seal”). If you don’t reach a high-rigidity state, the seal may never engage, so the outflow numbers can’t be interpreted confidently.
What can still be useful even if you’re not fully hard:

Arterial inflow assessment (PSV/waveforms) is often still interpretable with a partial response.

They can still note plaque/Peyronie’s findings.

What not being hard enough can mean:

The study may be non-diagnostic for VOD (they should say that explicitly).

High “leak” numbers (EDV/low RI) might reflect inadequate rigidity/relaxation rather than true venous leak — so it can be misleading if they overcall it.

The right way for them to report it if rigidity is insufficient:

Provide raw PSV/EDV/RI values by side/timepoint, document erection hardness (EHS), and conclude:

Hope that helps, hope I dont get visit from the forum Police LOL

[1sfman]

Since I've been on FT since Sept 2026, I've seen many posts about scans and other tests and some treatments (e.g. Soundwave). (I know nothing about Soundwave, maybe it works for some.)

But, I wonder if some of these tests and scans by some doctors are just easy money. I'm not saying they might not be appropriate for some situations, but it seems that it over complicates the situation. Granted, I'm looking at it from the tunnel vision of my experience, and I'm much older than some of the individuals in the forum.

For me, it was pretty much straight forward. Started ED problems around 60. Over the course of the next 14 years, it was pretty much a straightforward progression. Pills. Then pills starting to fail. Used VED to supplement, but caused soreness. Next, tri-mix. Didn't work well, so quad-mix. Didn't work well plus made the glans sore. Next step, urologist said next was implant surgery. No, "well lets test this or that", it was just you've tried what could help, and at this time, they no longer do.

Perhaps some tests, especially for the younger guys make sense, as implants are permanent. As to some treatments, perhaps they help some guys, and if they do, that's good. But I just can't help but wonder if sometimes there's an over use of treatments and tests, as a lot of guys document their experience and end up with implants anyway.

I trust my urologist and follow his advice, especially post-op. But along my journey, if I had started questioning what he suggested, I'd would have sought a second opinion.