How Do We Do It?
Most Comprehensive Blood Testing
Every doctor takes your blood; it provides the clearest immediate roadmap about what ails you beyond what you can verbalize. Ours is twice as intensive as you’ll see at typical urology practices and five-times more detailed than your family physician or men’s health center. Why’s that? Simple: Remember when we told you that erectile dysfunction is not an ending diagnosis – but a symptom of another problem? Tracking down that underlying cause starts with blood work.
Proprietary Vascular Analysis
We provide a unique and detailed Doppler ultrasound of your penis to unlock the keys to healing within your groin plus we perform an endothelial test to evaluate healthy blood flow throughout the rest of your body. This combination is crucial. Most ED issues are sourced from problems within the penis. However, 40% are rooted from challenges outside your groin area.
Without this tandem of detailed analysis? It’s just guessing – throwing out treatment ideas on what might be wrong which either sets the patient up for a lifetime of treatment dependency or even worse: overlooks an important health issue. Along with your detailed blood analysis – these tests will prove what’s wrong. Its not a guessing game anymore.
Your penile vascular health starts even before the Doppler kicks in – with an injection of PGE (Prostaglandin) into the bloodstream. PGE not only temporarily enhances groin area blood flow to allow results from your ultrasound to display vividly but also provides an “instant test” of the status of your erection function since it usually causes an immediate erection. Thus, if your Doppler erection is solid to extreme? We know your engine’s good – you probably just need a tune up. If a low to mild erection occurs from PGE – we already know there’s a hose and/or valve needing repair.
This test will illuminate the status of the four essential aspects of a healthy penis:
Blood Flowing Through the Penis
We will be looking at how the blood flows through the penis and how quickly, or: peak systolic velocity. Remember when you were just 16 years of age and the mere thought of sexual excitement could cause immediate arousal? That was because the blood flowing into and through the penis was working perfectly. When it’s not? Erections occur much more slowly. We’ll be looking closely at your bilateral symmetry – do the two main arteries that”fill” the penis flow at the same level: that’s important. Problems in this regard are classified as Arterial Insufficiency – and we can fix that!
Penile Blood Retention: Retaining Erections
After all that blood pumps into your penis: we need it to stay there in order to maintain your best erection. If there’s a leaky valve from age? Blood seeps out and your erection weakens – like a tiny pinhole in a balloon. You have already become excited and erect – and somehow – you keep losing your erection. This is known as Venous Leakage – we can repair that if faulty.
What is Venous Leakage?
Venous leakage is when the veins and muscles that constrict to trap blood required to “lock” a rigid erection into place as nature intended sprouts a “leak”, which results in an unexplained loss of firmness during sexual activity. It’s the most common reason for poor sexual performance in younger males and it’s a condition every male patient will eventually face if they live long enough.
Penis Blood Storage: Veins
Your penis must store blood in order to maintain a rigid erection. When everything works perfectly, the veins and muscles naturally constrict once the penis is fully engorged with blood. That pressurized state is not released until the brain instructs it to disengage, which occurs naturally after an orgasm or if we become distracted.
If the muscles don’t properly expand and constrict, the veins will “leak” the pressurized blood required for optimal firmness, hence the name and meaning: “venous leakage”. Venous leakage occurs from aging as the penile muscles atrophy or from some form of vascular disease.
The Process of a Healthy Erection
Your penis is made of three tubes. The smaller tube at the base of the penis is the urethra – it’s where sperm come out and you urinate. The two larger sponge-like tubes are called the corpus cavernosa. When you become aroused, the body pumps blood into that spongy material, triggering increased penile size. When the corpus is full of blood, the veins and muscles constrict to seal the erection into place. That engorged state does not change until the brain to send a signal to discharge the blood, which happens when you orgasm or become distracted.
Venous Leakage in Laymen’s Terms
Imagine a galvanized pipe with intense water pressure running through it. Suddenly, the pipe springs a leak. Can the same amount of water pressure be maintained after a pipe leak, all things being equal? Of course not. If the leak becomes more severe, water pressure is appropriately reduced. Now just imagine your blood flow as the water and your erection as those pipes: that’s what happens when we have a venous leak.
What Causes a Venous Leak?
There are thousands of finely-tuned muscles and veins supporting your penis blood retention system. Like the rest of our muscles and veins, atrophy from life-long use causes relaxation and expansion, resulting in a less effective sealing of your blood-packed corpus.
Type II Diabetes
A problematic vascular health issue can trigger early age disruption in penis muscular function. Type II Diabetes is the most common but there’s lots of potential vascular triggers. Such interference disrupts the delicate blood flow ratios essential to optimal tissue contraction. Subsequently, the entire mechanism can get thrown off. The balanced system between strong hydrostatic pressure at one end and low hydrostatic pressure on the venous side manifests like a “knocking” car engine that’s losing horsepower from decompression.
Penis Plaque Build Up
Built-up plaque is a common challenge in penile health. In severe cases, you could be dealing with Peyronie’s Disease – which requires an exclusive treatment paradigm. However, it’s not uncommon to have bits of hardened plaque in spots around the penis or an inordinate amount of “diffuse plaque” hampering blood flow & performance within your penile tissue. Diffuse plaque can be likened to heavy saltwater – the plaque has not scaled and hardened to edges of the penis – buts its density and weight and causing the pipes to operate less efficiently and more cumbersome.
Endothelial Testing: Blood Flow Analysis
Your Endothelial analysis will provide a detailed analysis of your blood flow rates throughout your body. It doesn’t do any good to improve blood flow within the penis if the providing resource isn’t offering adequate pressure and quality to support function. We can’t begin to tell you the number of patients we treated who had seen countless others who could find nothing wrong with their penis and suggested they pursue a lifetime dependency on penile injections or an implant when in reality – the erection problems was actually coming from beyond the groin.