Is there really any value in a Doppler ultrasound?

The final frontier. Deciding when, if and how.
Rise again
Posts: 12
Joined: Thu Sep 03, 2020 6:28 am

Is there really any value in a Doppler ultrasound?

Postby Rise again » Sun Oct 18, 2020 10:58 pm

My urologist offered to do a Doppler ultrasound on my penis, but the cost will be around $700. I am hesitant as I don't really see the value in it, and many seem to be inconclusive. I'm not interested in attempting vascular surgery given the poor outcomes so is there really any value in identifying exactly what the problem is with a poorly functioning penis?

Either it works or it doesn't, either you get an implant or you don't, is the reasoning really that useful?

Interested on others thoughts.
Titan 22cm + 1.5cm RTE installed by Dr. Chris Love, Melbourne on the 02/02/2021.

OregonStrong
Posts: 375
Joined: Mon Mar 02, 2020 10:15 pm

Re: Is there really any value in a Doppler ultrasound?

Postby OregonStrong » Sun Oct 18, 2020 10:59 pm

You pretty much nailed it. Only bother with a doppler if you wanted to confirm that you have a venous leak as the cause, but if the outcome is still going to be an implant, there is no point in wasting the money or giving the urologist a nice bonus check.
50 yrs old. E.D. issues started around age 35, combo venous leak/testicular failure. Bilateral testicular implants for severely atrophic testes. Implanted 6/11/20 Dr. Kramer LGX 21cm + 1.

frwmw1
Posts: 422
Joined: Thu Oct 01, 2020 7:38 am

Re: Is there really any value in a Doppler ultrasound?

Postby frwmw1 » Sun Oct 18, 2020 11:58 pm

I thought it is necessary to get a diagnosis or confirmation, otherwise, depending on your age, a surgeon wouldn't operate on you.
45yo, venous leak. Pills increased tinnitus (very rare). Using bimix+atropine, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

Rise again
Posts: 12
Joined: Thu Sep 03, 2020 6:28 am

Re: Is there really any value in a Doppler ultrasound?

Postby Rise again » Mon Oct 19, 2020 12:47 am

I guess if I decide to go ahead with the implant and it is conditional on a VL diagnosis then I have little choice, otherwise it seems kind of pointless.
Titan 22cm + 1.5cm RTE installed by Dr. Chris Love, Melbourne on the 02/02/2021.

Gt1956
Posts: 2859
Joined: Fri Apr 05, 2019 2:47 pm

Re: Is there really any value in a Doppler ultrasound?

Postby Gt1956 » Mon Oct 19, 2020 4:21 am

Rise again wrote:I guess if I decide to go ahead with the implant and it is conditional on a VL diagnosis then I have little choice, otherwise it seems kind of pointless.

Pretty much my opinion also. Unless your insurance requires it in order to get a warm fuzzy feeling to cover the implant. What does it matter. My surgeon hasn't even mentioned having it done. Coverage might depend on your other conditions like cancer or diabetes that are easy to document.
I'm sure that there is men that just want to know but it dosn't seem importat to me.
68yo, HBP at 40, high triglycerides at 45. Phimosis at 57. Type 2 at 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months

vajim1
Posts: 492
Joined: Tue Jan 16, 2018 2:19 pm

Re: Is there really any value in a Doppler ultrasound?

Postby vajim1 » Mon Oct 19, 2020 7:33 am

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.
76 year old fart. Prostate removed Oct. 9, 2017,Psa 30 days after .15 next Psa .2. 37 Radiation treatments for recurrent cancer, 1 year out Psa .033 ZERO ERECTIONS, implanted Sept 5 2019 Dr. Lentz Duke Raleigh N.C. Titan 22cm.

Old Guy
Posts: 2474
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Is there really any value in a Doppler ultrasound?

Postby Old Guy » Mon Oct 19, 2020 7:56 am

Had one done a year before my implant. Why I don't know but never did see any insurance bill for it.
The doppler was done when I was first considering the implant, but my deductible was so high that year had to cancel the surgery. The next year we were almost at our max out of pocket expense, so scheduled the surgery. They did not repeat the doppler.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

dg_moore
Posts: 1885
Joined: Mon Apr 25, 2011 9:34 am

Re: Is there really any value in a Doppler ultrasound?

Postby dg_moore » Mon Oct 19, 2020 9:20 am

In the runup to my implant surgery there was never any mention of a Doppler. It seems to me that the results of a Doppler are news you can't use - your course of action if you have documented venous leak is exactly the same as without the test, so why incur the expense?
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.

frwmw1
Posts: 422
Joined: Thu Oct 01, 2020 7:38 am

Re: Is there really any value in a Doppler ultrasound?

Postby frwmw1 » Mon Oct 19, 2020 10:53 am

vajim1 wrote: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.


Yeah I think the weird thing is, I absolutely flunked my doppler test, I got no erection at all, and I knew I wouldn't before I did it, then a few days later I am almost having an unassisted erection, but of course that was fleeting.
45yo, venous leak. Pills increased tinnitus (very rare). Using bimix+atropine, 0.2 of:
Atropine Sulfate: 52MCG/ML, Phentolamine MES: 0.9MG/ML, Papaverine HCL: 26MG/ML

Waynetho
Posts: 1767
Joined: Wed Nov 27, 2019 11:22 pm
Location: Dallas, TX

Re: Is there really any value in a Doppler ultrasound?

Postby Waynetho » Mon Oct 19, 2020 11:05 am

frwmw1 wrote:
vajim1 wrote: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.


Yeah I think the weird thing is, I absolutely flunked my doppler test, I got no erection at all, and I knew I wouldn't before I did it, then a few days later I am almost having an unassisted erection, but of course that was fleeting.


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.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0


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