False Doppler Ultrasound or not...
Posted: Sat Aug 27, 2022 4:13 am
Hello again, everyone. In my previous post I told about my uncertainty about what percentage of my erection problems is psychogenic and what is physical reasons (my theory was about having a venous leakage)
So, recently I had a Doppler Ultrasound with erection induction, and as a result I had my nightmare fear come true: test showed venous leak and it's 8 cm/s. As I know, venous leak is diagnosed when it's more than 5 cm/s on veins in full rigid condition after injection. But the point is that I haven't achieved full rigidity, it was more like tumescence phase, for which 6-8 cm/s vein blood flow is normal, as DUS doctor said. The procedure was complicated by the fact that I was scared asf and my anxiety was really significant. Also, urologist that made an injection was scared that I will have a priapism so he used not much of the drug as he could use normally. Doctor said that my case seems psychogenic at least at some part. Also I found an article that states: "On multivariable analysis, younger age (<45 years), failure to obtain an adequate erection during the original DUS, and having <2 vascular risk factors were predictive of a false diagnosis of venous leak. Penile DUS has a propensity to inaccurately assign a diagnosis of venous leak" and it turns out that I fit in these factors so I still have a hope that everything will be fine
What do you think about that? Does it look like I can hope for a good end? Has some of you had a DUS test that approved a VL? How many cm/s was the vein blood flow?
Sorry for my not perfect English
So, recently I had a Doppler Ultrasound with erection induction, and as a result I had my nightmare fear come true: test showed venous leak and it's 8 cm/s. As I know, venous leak is diagnosed when it's more than 5 cm/s on veins in full rigid condition after injection. But the point is that I haven't achieved full rigidity, it was more like tumescence phase, for which 6-8 cm/s vein blood flow is normal, as DUS doctor said. The procedure was complicated by the fact that I was scared asf and my anxiety was really significant. Also, urologist that made an injection was scared that I will have a priapism so he used not much of the drug as he could use normally. Doctor said that my case seems psychogenic at least at some part. Also I found an article that states: "On multivariable analysis, younger age (<45 years), failure to obtain an adequate erection during the original DUS, and having <2 vascular risk factors were predictive of a false diagnosis of venous leak. Penile DUS has a propensity to inaccurately assign a diagnosis of venous leak" and it turns out that I fit in these factors so I still have a hope that everything will be fine
What do you think about that? Does it look like I can hope for a good end? Has some of you had a DUS test that approved a VL? How many cm/s was the vein blood flow?
Sorry for my not perfect English
