Is there really any value in a Doppler ultrasound?

[SteveSW]

I had a doppler done just before starting Trimix. Uro claimed it would help in determining the strength to prescribe, especially if it revealed a VL, which it did, a very serious one. Also, he wanted to see the Peyronie's mass inside my dick, which he described as "massive" and was the root cause of my ED. He turned the screen so I could see, and explained what I was seeing. Somehow, just having definitive diagnosis was somehow a relief and after years of seeing doctors who really didn't give a crap about my Peyronie's or ED.

[Gt1956]

My urologist said there is no reason to do one as if pills don't work then try injections and if they don't work get an implant. This is fine but why waste 2 years of trying all this to find out that the implant is your only option.

I think that many men know deep down that erections are gone. So I totally agree on why waste time. Well unless you're having trouble finding a surgeon that you're comfortable with.
If you want to read about guys, usually younger. That are struggling with the implant decision. Check out the Young Members section. Some of those poor guys are willing to do anything to avoid an implant. I don't truly understand all of them. I suspect that many of them are from countries that don't have very good urology services. Either way, it hurts to read their plight. Kind of makes you glad that you can see thru all of the smoke & fears.
Best of luck to you.

[Lost Sheep]

As a diagnostic tool a Doppler Ultrasound has merit.

In my case, a clinical exam and verbal history was enough to diagnose my E.D. as probably venous leak (V.L.) and not likely to respond to further chemical treatments (oral drugs had stopped working and suppositories and injections were likely to follow the same arc of effectiveness diminishing over time and were no amenable to my sexual style).

PRP therapy was suggested and considered, but still experimental and travelling to the location where a trial was taking place was out of the question.

Implant was the most direct route to function and all other pathways were tenuous.

The diagnostic value of Doppler was thus pointless as unlikely to change the course of action.

Perhaps if a Doppler were to show a localized leakage in the side of my tunica that was open to repair by some means, an implant could have been avoided. But that is a slim speculation on my part.

[Gt1956]

As a diagnostic tool a Doppler Ultrasound has merit.

Deleted for focus.

Perhaps if a Doppler were to show a localized leakage in the side of my tunica that was open to repair by some means, an implant could have been avoided. But that is a slim speculation on my part.

I can accept that perhaps a fixable problem could be found. Bit I'm thinking it's a long shot for most men. Are you aware of any members that had their ED cured because a repairable leak was found?

[Lost Sheep]

As a diagnostic tool a Doppler Ultrasound has merit.

Deleted for focus.

Perhaps if a Doppler were to show a localized leakage in the side of my tunica that was open to repair by some means, an implant could have been avoided. But that is a slim speculation on my part.

I can accept that perhaps a fixable problem could be found. Bit I'm thinking it's a long shot for most men. Are you aware of any members that had their ED cured because a repairable leak was found?

There are surgeons performing operations to enhance the ability of veins to close off the draining of the cavernosum. As I understand it, the low success rate makes this a hit-or-miss proposition. But there must be SOME men who have had their E.D. mitigated or even cured or this operation would not still be presented as an option. At least, I hope there are not that many charlatans holding medical degrees.

There are reports of some men, after getting an implant using a cavernosum tissue-sparing technique having some erectile ability restored (without pumping up the implant). The speculation is that the implant squeezes those veins, enabling them to reduce the leakage.

But no, I know of no specific men having E.D. actually cured by "fixing" leakage.

For me, I speculated that having a kink in my penis' shaft (very bad masturbatory technique) might have weakened a spot in the wall. Just a speculation, but if that were my problem, and a patch could be pasted on that spot, maybe I would have had normal function for the past 45 years.

[SW0110]

I wish I had one done by my doc in my first month of ed. I never would have taken a viagra. I would have jumped straight to implant and skipped almost three years of anguish with worsening ed and developing horrible peyronies.

I think any urologist should give you one before they give you viagra. I know I am in a small minority there.

But I firmly believe trying to keep having sex with a semi erection due to blood going out as fast as in no matter how much viagra, caused my peyronies. I bent my penis, plaque, hourglassing, shortening. All horrible.

Should have just implanted right off, would have kept all 7 inches, and only a couple months of anguish.

[Rise again]

There are reports of some men, after getting an implant using a cavernosum tissue-sparing technique having some erectile ability restored (without pumping up the implant). The speculation is that the implant squeezes those veins, enabling them to reduce the leakage.

Do you have any more information on this technique?

[frwmw1]

Perhaps it was positional. Sometimes the position of the penis might allow venous occlusion enough to cause a partial (or full) erection just because of how it is or isn't hanging. I find that although I have a low hang due to loose suspensory ligament and non-existant crus, I get more glans (and corporal) engorgement if I hold my penis in the 1:30-2 o'clock position. I theorize that this is due to positional venous occlusion, the opposite of venous leakage.

Yes, this what I get too. Similarly, I have a loose suspensory ligament. However, how is "positional venous occlusion" different from a venous leak?

[frwmw1]

I wish I had one done by my doc in my first month of ed. I never would have taken a viagra. I would have jumped straight to implant and skipped almost three years of anguish with worsening ed and developing horrible peyronies.

...

Should have just implanted right off, would have kept all 7 inches, and only a couple months of anguish.

In my discussion with a Urologist, they didn't like my relatively young age, as he doesn't know how things will be for me when I'm 65 with an implant. So, he said the process is Viagra, Injections, Implant, but they did agree that I should be looking at an implant soon, in 6-12 months. Still, got me worried. I made the point that my wife will be in menopause by then so maybe I won't need it at 65.

I doubt a Doppler would have changed their minds about writing you a Viagra prescription.

All the Doppler seems to do is prove it's not in your head.

In regards to Peyronies, I asked about Peyronies and injections, they said that Peyronies is a immune condition, however scarring causing bending and shortening can still occur but is a separate condition?

[Waynetho]

Yes, this what I get too. Similarly, I have a loose suspensory ligament. However, how is "positional venous occlusion" different from a venous leak?

When I say venous occlusion I'm referring to the clamping off of leaky veins when your penis is in a certain position. For instance, if it didn't hang so low it might not have a venous leak.