Erectile Dysfunction Vascular Assessment

Erectile dysfunction (ED) is a common condition that affects many men, especially as they age. While often considered embarrassing, it's important to understand that ED is frequently caused by underlying vascular problems—and diagnosing these issues can provide crucial insights into your overall cardiovascular health. In fact, ED is often called an 'early warning sign' of heart disease. The small blood vessels in the penis are affected by atherosclerosis before larger vessels, meaning ED symptoms may appear 3-5 years before a heart attack or stroke.

A penile duplex ultrasound is the gold standard for diagnosing vascular causes of erectile dysfunction. The examination is performed in a private, comfortable setting with complete confidentiality. The test measures blood flow into and out of the penis both at rest and after a vasodilator injection that simulates erection. We assess: • Peak Systolic Velocity (PSV): Blood flow into the penis • End Diastolic Velocity (EDV): Blood flow retention • Resistive Index (RI): Indicator of venous leak Results help determine whether ED is primarily vascular and guide treatment decisions—whether medical therapy, lifestyle changes, or referral to a urologist for further management. This examination is performed with the utmost discretion and professionalism. All consultations are confidential.