Evaluation Of Erection Dysfunction

History is very important. This will include details about erection , its hardness, duration , ability to sustain erection for satisfactory sexual intercourse. History of Diabetes, high blood pressure, high cholesterol, physical activity , presence of thyroid disorder and cardiac disease will be included which are very important in diagnosing cause of erectile dysfunction.

Detailed clinical examination will include all vital systems of our body including genital area

Other aspects of sexual activity such as duration of erection before ejaculation, orgasm will also be elicited

Laboratory investigations are aimed at checking kidney function, cholesterol level, thyroid, male hormone testosterone level. It may be necessary to check presence of cardiac disease before starting treatment for erectile dysfunction. Many patients with erectile dysfunction may have silent cardiac disease and this is very important to remember this association.

Intrapenile injection test: This is an office procedure done in the consulting room. A small dose of injection is given into the corporal tissue. This improves the penile blood flow and the degree of erection achieved is checked over a period of one hour. If hard erection is not achieved with a small dose, repeat testing with higher dosage will be required on the next day

Drug test : PDE5 group of drug also promote penile blood flow Drug is taken at 5 pm and erection is checked after one hour. This again is done as an office procedure.

Both injection test and drug test very useful in assessing the nature of problem and its treatment.

PENILE DOPPLER TEST : This is done in the scan room.Penile blood flow is checked with a Doppler probe. Vasodilator medicines are given orally or by an injection in to the penis and the blood flow increase is rechecked. Reduced peak systolic velocity identifies narrowing of penile artery.

• Stopping alcohol, Smoking, Diet and exercise Counselling.
• Sex therapy, Drugs, Self injection therapy, Penile implant surgery, Penile Curvature Surgery, Peyronie correction surgery.