Doppler Results and Making Decisions

The final frontier. Deciding when, if and how.
FitMale
Posts: 2
Joined: Tue Jul 27, 2021 11:42 am

Doppler Results and Making Decisions

Postby FitMale » Tue Oct 31, 2023 5:53 pm

Hi All. I am considering an implant in the near future. I am 34 years old ED since a cycling injury 17 years ago.

I am able to achieve a weak erection with pde5 inhibitors and physical stimulus, but I find it very difficult to maintain erection for sex. Thrusting in particular is very difficult, or impossible as the penis is just not rigid enough.

These are my most recent doppler results. Can anyone provide feedback on these and/or compare to what your results were?

Pre injection
Right Corporal
PSV 15.6 cm/s
EDV 0.4 cm/s
Resistive Index 0.98
Diameter 1 mm

Left Corporal
PSV 13.1 cm/s
EDV 0.7 cm/s
Resistive Index 0.95
Diameter 1mm

5 minutes post injection (10 mg caverject)
Right Corporal
PSV: 59.7 cm/s
EDV: 22.8 cm/s
Resistive Index 0.62
Diameter 2.3 mm/s

Left Corporal
PSV: 75.8 cm/s
EDV: 26.6 cm/s
Resistive Index 0.65
Diameter 2.6mm

Looking for advice. Would you take the plunge and go for the implant now?

ThailandBound
Posts: 966
Joined: Fri Dec 16, 2022 5:32 pm

Re: Doppler Results and Making Decisions

Postby ThailandBound » Tue Oct 31, 2023 8:21 pm

I have no idea what any of that means.

After my doppler, the doctor said “you gave veinous leakage”. I asked if there was anything that could be done. He said “not really, there’s a surgery that’s done in Europe mostly, but the success rate is not good”.

I chose the implant. 11 months ago. Couldn’t be happier.

That’s all the research i did.
Active, athletic 63 years old. Sexually, still 33 in my mind and spirit. Pills and injections all worked, until they didn’t. Diagnosed with veinous leakage in 2022. Coloplast Titan. 22 CM. No RTE. Peno-scrotal. Implanted 1/4/23. Dr. Clavell.

Witheringhog
Posts: 565
Joined: Fri Mar 24, 2023 3:43 pm

Re: Doppler Results and Making Decisions

Postby Witheringhog » Tue Oct 31, 2023 8:44 pm

FitMale wrote:Hi All. I am considering an implant in the near future. I am 34 years old ED since a cycling injury 17 years ago.

I am able to achieve a weak erection with pde5 inhibitors and physical stimulus, but I find it very difficult to maintain erection for sex. Thrusting in particular is very difficult, or impossible as the penis is just not rigid enough.

These are my most recent doppler results. Can anyone provide feedback on these and/or compare to what your results were?

Pre injection
Right Corporal
PSV 15.6 cm/s
EDV 0.4 cm/s
Resistive Index 0.98
Diameter 1 mm

Left Corporal
PSV 13.1 cm/s
EDV 0.7 cm/s
Resistive Index 0.95
Diameter 1mm

5 minutes post injection (10 mg caverject)
Right Corporal
PSV: 59.7 cm/s
EDV: 22.8 cm/s
Resistive Index 0.62
Diameter 2.3 mm/s

Left Corporal
PSV: 75.8 cm/s
EDV: 26.6 cm/s
Resistive Index 0.65
Diameter 2.6mm

Looking for advice. Would you take the plunge and go for the implant now?


Yes, get it asap, the longer ed goes on the more likely your unit shrinks
49 - Coloplast Titan 22 implanted 5-2 Dr. Clavell in Houston

Jage64
Posts: 616
Joined: Sat Oct 22, 2022 9:38 pm

Re: Doppler Results and Making Decisions

Postby Jage64 » Tue Oct 31, 2023 8:44 pm

I didn't even have a doppler done.

My dick didn't work. I had been using pills for many, many years and they didn't work anymore without significantly annoying side effects. I didn't need a test to tell me my dick didn't work.

Like you, I could *maybe* get a serviceable erection for a few minutes here and there, but nothing we could count on for penetration.

I didn't even try injections, no thanks. At that point we're just proposing duct tape and bailing wire and I was done with it. I didn't want to hassle with another "trick" to get a boner and put up with all that comes with that. Plus, I read how injection scarring can be a challenge once you do decide to go with an implant down the road.

I was implanted in February, couldn't be happier. Dr. Clavell's goal is not only give you an erection like you've never had before, but to address your ED completely. He doesn't want you thinking about your penis unless it's go time. Then pump it up and you and your partner enjoy it for as long as you want without a care in the world.
2/22/23 AMS 700 CX 21cm + 1.5cm RTEs. 58 yrs old, wife of 37 yrs. Penoscrotal. 100ml Conceal reservoir. Dr. Clavell. Pills failing and went right to implant, skipped the injections. 12 mos. later: 7 1/2" x 5 3/4"

dentestes
Posts: 36
Joined: Thu Oct 26, 2023 9:05 am

Re: Doppler Results and Making Decisions

Postby dentestes » Tue Oct 31, 2023 8:56 pm

Exactly what Jage64 said!

I was probably on the extreme side in that i didn't want to consider pills or injections and went straight to implant after two decades of torture. Like you i wanted so badly to find out the why but at the end of the day telling me i had 'arterial insufficiency' didn't make a god damn difference. Follow your heart and don't suffer longer than you need to!

Bambino09
Posts: 170
Joined: Fri Jul 28, 2023 5:30 pm

Re: Doppler Results and Making Decisions

Postby Bambino09 » Tue Oct 31, 2023 9:17 pm

FitMale wrote:Hi All. I am considering an implant in the near future. I am 34 years old ED since a cycling injury 17 years ago.

I am able to achieve a weak erection with pde5 inhibitors and physical stimulus, but I find it very difficult to maintain erection for sex. Thrusting in particular is very difficult, or impossible as the penis is just not rigid enough.

These are my most recent doppler results. Can anyone provide feedback on these and/or compare to what your results were?

Pre injection
Right Corporal
PSV 15.6 cm/s
EDV 0.4 cm/s
Resistive Index 0.98
Diameter 1 mm

Left Corporal
PSV 13.1 cm/s
EDV 0.7 cm/s
Resistive Index 0.95
Diameter 1mm

5 minutes post injection (10 mg caverject)
Right Corporal
PSV: 59.7 cm/s
EDV: 22.8 cm/s
Resistive Index 0.62
Diameter 2.3 mm/s

Left Corporal
PSV: 75.8 cm/s
EDV: 26.6 cm/s
Resistive Index 0.65
Diameter 2.6mm

Looking for advice. Would you take the plunge and go for the implant now?


Hola necesito hablar contigo al privado

Luther
Posts: 98
Joined: Tue Oct 22, 2019 8:50 am

Re: Doppler Results and Making Decisions

Postby Luther » Wed Nov 01, 2023 1:40 pm

"Venous leakage" as explanation for E.D. is the equivalent of "irritable bowel syndrome" (IBS) as explanation for intestinal complaints. In itself it explains little or nothing, it is a term that is often used when, for unclear reasons, the corpora cavernosa do not fill with blood (or - in the case of IBS - intestinal complaints occur).

The Doppler test shows that despite greater blood flow to the penis after injection with alprostadil or phentolamine, the corpora cavernosa do not fill with blood. An actual leak in a vein is not or rarely observed; "venous leakage" is an assumption.

I have done a Doppler test twice in combination with PGE1-injections. Both times the doctor concluded "venous leak". Although in my case the choice for an implant was unavoidable, I would advise you to first try all other options before choosing an implant: there are many men who with a high dosage of trimix/caverject/androskat (10 mcg alprostadil is not a high dose), possibly in combination with a cock ring, achieve a good erection. If this does not give the desired result or you find injections too impractical or annoying, you can still always opt for a penile prosthesis.
26cm Titan (no RTE), Dr. van Renterghem (Belgium), October 2023.

TexasMax
Posts: 69
Joined: Sun Aug 28, 2022 1:27 pm

Re: Doppler Results and Making Decisions

Postby TexasMax » Thu Nov 02, 2023 2:38 pm

my doppler showed ZERO leakage and they said i was as good as 20 year old.
Obviously i wasn't
41, Clavell Implant Titan 11/2023


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