What does this doppler report mean

[young_and_impotent]

I'll go to my new doctor with this report, but I was wondering if you guys had some knowledge about this.


Report in the following link: https://ibb.co/s3Rpx1p

[Larry10625]

I'll go to my new doctor with this report, but I was wondering if you guys had some knowledge about this.


Report in the following link: https://ibb.co/s3Rpx1p

Basically it says that everything appears normal but, there MAY be a venous leak. May need an ultrasound.

Larry

[60s_surfer]

Your doctor can give you the best information about this. My impression from this report of the Doppler ultrasound measurement is that you may have a venous leak. If that is the case, then the symptoms would be an ability to get an erection when you are very aroused but that erection would easily be lost. Some of the members here report success using constriction rings to compensate for a venous leak. My suggestion is to discuss all of this with a sexual medicine specialist.

[Lost Sheep]

This might be illuminating
https://www.ncbi.nlm.nih.gov/pubmed/2388351
https://www.sciencedirect.com/science/a ... 4717395939
same article

https://www.ncbi.nlm.nih.gov/pubmed/9933376
https://www.ncbi.nlm.nih.gov/pubmed/2180173

this one is more readable, but gives fewer specifics
https://www.webmd.com/erectile-dysfunct ... disease-ed

These appear more complete
https://www.google.com/search?rlz=1C1EO ... W2AmyFG5ho
https://www.google.com/search?rlz=1C1EO ... W2AmyFG5ho

But this one might be the most valuable to answer the question
https://www.issm.info/sexual-health-qa/ ... nction-ed/

And this excerpt of the abstract from
https://www.ncbi.nlm.nih.gov/pubmed/3989919
is interesting

J Urol. 1985 May;133(5):796-8.
Venous leakage: surgical treatment of a curable cause of impotence.
Wespes E, Schulman CC.
Abstract
While the arterial aspects of erectile impotence recently have received considerable attention, the venous component of normal and impaired erection has been ignored. In this study venous leakage was demonstrated by inducing passive erections using a controlled perfusion of the corpora cavernosa with continuous pressure monitoring. In 20 patients with impaired erectile activity under a standardized flow (80 to 120 ml. per minute) no rigid erections were obtained and the perfused liquid was demonstrated to escape through the deep dorsal vein of the penis. After ligation of this vein the erections improved sufficiently to allow satisfactory intercourse in 16 of the 20 patients. The 4 failures had serious arterial lesions. In patients with organic impotence the venous pathological condition should be assessed routinely, since it represents an easily correctable anomaly if arterial inflow is not severely impaired.

I always wondered if ligation (the surgical procedure of closing off a blood vessel or other duct or tube in the body by means of a ligature or clip.) could cure E.D. caused by venous leakage. A temporary closing off of the deep dorsal vein could be accomplished by a pump similar to that used to treat incontinence might do the trick. The fact that this is not a widely used surgical approach to E.D. cure suggests it has been tried and found impractical or only short-lived. I wonder.

In any event, reading these articles might give you some background so that your discussion with your urologist will be optimally educational and fruitful.

Good luck.

[handfulWES]

As I read thru the many different "Subject Topics" I have an opportunity to see how advanced we are NOW compared to the the late 60's through till into the 2000's. This type report didn't exist and so much was guess work. One doctor who at least lent me some support said he felt my problem was trouble getting blood in. This was proven with the "P" injections to obtain a hardon. Once the blood got in, I had trouble getting it out. If in a perfect world things worked correctly with our Mr. Happy, blood is always flowing in and a very small amount flows out. This will keep your dick alive. This is why when using a pump and ring that you shouldn't go longer than 25 minutes without removing the ring and allow for a new exchange of blood, again a perfect world.

What, to me, makes ED more frustrating is when it is so fucking difficult to determine the exact cause. It has been my experience that with ED issues it tends to end up with several different small things. OK: There is the law of tolerances by which we will say something is made. If all the tolerances swing in one direction then whatever it is just doesn't work correctly. It is much the same with ED. Several small things, each on its own wouldn't create a major problem BUT add them together and now you have a DICK that fucking doesn't work anymore.

I have a friend who was slapped in the face so to speak and is now on this road of ED issues. I talk with him and I feel the pain and it cuts me as deep as it cuts him. WHY? I have been there. This is a fine guy, education, great job and in a few short months reduced to a life of being lonely and empty inside. He feels he is loosing ground fast and he is right. Each day pulls him down and thus in a desperate move to try and fix the problem, his education says "don't make the wrong mistake".

Be thankful we have so many new test to help those with ED. IF YOU DON'T UNDERSTAND SOMETHING ON A TEST stop your doctor and ASK. If that seems difficult I have learned in a few short days in Frank Talk there are enough of us who fully understand the test and I think if you post your question, thought that you will get honest, sincere answers and guidance to go back to your doctor with.

handfulWES

[ringo1]

This might be illuminating
https://www.ncbi.nlm.nih.gov/pubmed/2388351
https://www.sciencedirect.com/science/a ... 4717395939
same article

https://www.ncbi.nlm.nih.gov/pubmed/9933376
https://www.ncbi.nlm.nih.gov/pubmed/2180173

this one is more readable, but gives fewer specifics
https://www.webmd.com/erectile-dysfunct ... disease-ed

These appear more complete
https://www.google.com/search?rlz=1C1EO ... W2AmyFG5ho
https://www.google.com/search?rlz=1C1EO ... W2AmyFG5ho

But this one might be the most valuable to answer the question
https://www.issm.info/sexual-health-qa/ ... nction-ed/

And this excerpt of the abstract from
https://www.ncbi.nlm.nih.gov/pubmed/3989919
is interesting

J Urol. 1985 May;133(5):796-8.
Venous leakage: surgical treatment of a curable cause of impotence.
Wespes E, Schulman CC.
Abstract
While the arterial aspects of erectile impotence recently have received considerable attention, the venous component of normal and impaired erection has been ignored. In this study venous leakage was demonstrated by inducing passive erections using a controlled perfusion of the corpora cavernosa with continuous pressure monitoring. In 20 patients with impaired erectile activity under a standardized flow (80 to 120 ml. per minute) no rigid erections were obtained and the perfused liquid was demonstrated to escape through the deep dorsal vein of the penis. After ligation of this vein the erections improved sufficiently to allow satisfactory intercourse in 16 of the 20 patients. The 4 failures had serious arterial lesions. In patients with organic impotence the venous pathological condition should be assessed routinely, since it represents an easily correctable anomaly if arterial inflow is not severely impaired.

I always wondered if ligation (the surgical procedure of closing off a blood vessel or other duct or tube in the body by means of a ligature or clip.) could cure E.D. caused by venous leakage. A temporary closing off of the deep dorsal vein could be accomplished by a pump similar to that used to treat incontinence might do the trick. The fact that this is not a widely used surgical approach to E.D. cure suggests it has been tried and found impractical or only short-lived. I wonder.

In any event, reading these articles might give you some background so that your discussion with your urologist will be optimally educational and fruitful.

Good luck.

Lost she'll.. I would request you to stop all discussion about vein.ligations..is there any member on any fucking forum you ever come across who's had a successful outcome...u older guys have a responsibility...vein.ligstion is abadonded is all advanced medical communities if the ligation was working why the fuck would u guys have implants...so don't play dr and try to mind boggle an already lost soul ...vein ligation wouldbring more agony...it was articles like these on the web which fucked up my brain and went through the ligation route...I have a dead dick lost size and massive pains....all top urologist Dr Eid...Dr Irwin goldtien...Dr Tom hsu...they all warn against ligation it dosent work...so stop posting some bull shit study ..and if u wanna post then post with some backing of someone who u really know who's had a successful outcome with credibility...

[Hope77]

I'll go to my new doctor with this report, but I was wondering if you guys had some knowledge about this.


Report in the following link: https://ibb.co/s3Rpx1p

Hi. You had some doppler test that confirmed you did not have a leak (as u said in a different thread); what changed? Did you do this test while sitting or standing?