Diagnostics are “tests” to determine why you’re having troubles. We do not have to just offer pills and a penile implant. We specialize in urologic-based men’s sexual health.
Our analysis of the root cause of your issue is extensive and sometimes requires multiple appointments to complete – but we remain sensitive to the fact you will be looking for improved results quickly. We can get your penis working better ASAP. We also heal the underlying problem. The goal is for correction without need for long term medication use.
Every doctor takes your blood: it provides the clearest immediate roadmap about what ails you beyond what you can verbalize. Remember, erectile dysfunction is not an ending diagnosis – but a symptom of another problem. Tracking down that underlying cause starts with extensive blood work.
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 systemic challenges.
Why this tandem of detailed analysis? Without it, we’re just guessing – throwing out treatment ideas on what might be wrong will set a 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. It’s not a guessing game anymore.
Ultrasounds allow us to clinically evaluate the size and consistency of the plaque, the degree of penile curvature and the severity of the associated erectile dysfunction. To perform this ultrasound study, medicine is injected into the penis to produce an erection which is then followed by a painless ultrasound probe. This will determine the plaque type and volume, degree of curvature, arterial blood flow into the penis, and the ability of the veins to keep this blood from exiting the penis.
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 result” of the status of your erection function since it usually causes an immediate erection.
This test will illuminate the status of the four essential aspects of a healthy 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 its 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!
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 already got excited and erect – and somehow – you keep losing your erection. This is known as Venous Leakage – we can repair that if faulty.
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, its 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 salt water – 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.
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.
Once you’ve completed all of your tests, you’ll have a face-to-face appointment with one of our specialists to review your results, explain your treatment optional and answer any and all questions. This appointment is very important for your education. We encourage you to bring your spouse/partner for this particular visit. We’ll explain your test results, help you visualize where you fall on the scale, help you set acceptable expectations for treatment and answer all of your collective questions. On this day, we will offer you the best pathway for treatment specific to only you. If you do nothing else with this information, you will at least know what is causing your difficulties.
If long term correction isn’t your goal, we can also offer the best pathway for short term benefit as well. Our goal is to help you in effective ways to meet your goal.
After your review of findings with our skilled urologist, our clinical director will sit down and share our proprietary 65-point patient scorecard that exhibits all your various results, how they far against the norm of other men your same age – and what we can do to overcome any deficiencies. We do our best to provide workable solutions to every patient regardless of schedule, insurance or financial resources.
Your treatment plan is custom to you and your personal sexual health.
