Ultrasound of the penis– a diagnostic procedure that visualizes the internal structures of the male genital organ: spongy and cavernous bodies, tunica albuginea, vessels. The results are informative for erectile dysfunction, Peyronie's disease, tumors, hematomas and organ inflammation. Ultrasound of the penis is performed independently and in combination with ultrasound of blood vessels, with or without provocation of an erection. The cost of the technique is determined by the imaging mode, the availability of a pharmacotest, and the type of drug.
Preparation
Advance preparation for an ultrasound of the penis is not necessary. Before the procedure, it is necessary to perform daily hygienic care of the genitals.
What does it show
Basic ultrasound of the penis - two-dimensional gray scale echography (B-mode), displaying the structure of the cavernous and spongy bodies, the lining of the organ. Allows detection of fibrosis, tumors and injuries. Can be performed in combination with ultrasound, duplex and triplex scanning of blood vessels. Duplex study provides information about the size of veins and arteries, their capacity, and the direction of blood flow. Triplex scanning produces a color image that determines the speed of blood flow. A pharmacological test is used to obtain data on blood flow during an erection.
There are standard indicators for the structures of the penis and blood vessels: the echogenicity of the cavernous and spongy body is uniform, moderate, the diameter of the cavernous artery is 0.6-1.0 mm, the peak systolic velocity is 35 cm/sec, the end-diastolic velocity is 0-5 cm/sec . The following groups of pathologies are diagnosed using ultrasound:
- Erectile disfunction . With arteriogenic impotence, blood flow through the cavernous arteries is assessed. The diagnosis can be confirmed by a decrease in speed characteristics - peak systolic velocity less than 25 cm/sec.
- Vascular pathologies. Doppler ultrasound reveals abnormalities in vascular development, vein thrombosis, and atherosclerotic plaques. There is an expansion or narrowing of the lumen of blood vessels, changes in vascular architecture, uneven blood flow, and increased echogenicity of the vascular walls.
- Acute cavernite. Inflammation of tissues - cavernitis - is provoked by local and general infections (urethritis, sepsis), damage to the urethra. The ultrasound image shows decreased echogenicity and increased blood flow.
- Cavernous fibrosis. Pathological compaction of the cavernous bodies, or cavernous fibrosis, is formed due to chronic inflammatory processes, injuries, and priapism. Ultrasound signs of the disease are increased echogenicity, deformation of organ structures. With focal damage, heterogeneity of erectile tissue is determined.
- Neoplasms. Benign and malignant tumors, metastases are diagnosed as foci of altered echogenic density.
- Peyronie's disease. As Peyronie's disease progresses, the tunica albuginea thickens. Deformations of structures, plaques and compactions can be detected - areas of increased echogenicity.
Ultrasound of the genital organs is prescribed as part of a comprehensive diagnosis of andrological diseases. Scan results are not used in isolation to make a diagnosis, but are interpreted in conjunction with physical examination, clinical interview, and laboratory tests.
Advantages
Examination of the male external genitalia using ultrasound is a safe diagnostic technique. The procedure is completely painless, has no effect on health, and can be used repeatedly without any risks. Penile ultrasound is affordable compared to other imaging tests, such as MRI. Carrying out an intracavernosal test as part of echography of the penile vessels increases the cost of the study - it can vary slightly depending on the drug used. The disadvantage is the low resolution of ultrasound images and the inability to differentiate certain types of tumors.
Using this procedure, the properties of blood flow in the penis and scrotum are determined. Dopplerography of the vessels of the penis uses ultrasound to determine whether the patient has vascular erectile dysfunction (impotence).
This method is in addition to the ultrasound procedure and has its advantages:
- absolute safety;
- the diagnosis is established with 100% accuracy.
The principle of operation is based on the Doppler effect - the length of a sound wave changes as the medium in which it is located moves. Next, the computer determines the frequency of the signal and carries out the necessary mathematical processing.
With the help of Doppler, it is possible to: assess the condition of the blood vessels, whether there are any pathologies of the penis and scrotum, and also determine the capacity of the vessels.
Often, for a complete analysis, blood flow is measured during an erection, it is induced using an injection or films and magazines with erotic content. This addition to conventional ultrasound is called pharmacodopplerography.
Indications for the study:
The procedure is also indicated for examining the scrotum. Indications:
USPDG will help in determining:
- vascular tone in the genitals;
- reasons for the rapid release of seminal fluid during intercourse;
- is the blood flow rate impaired?
- violations of the elasticity of the walls of blood vessels;
- malignant tumor.
The study is prescribed and conducted by a urologist. Special preparation for Doppler sonography is not required, but several rules must be followed:
How does the research process work?
The patient is in a supine position. The doctor must induce an erection in the subject by injecting prostaglandin or papaverine E1, then 10 minutes later, an examination is performed using a high-frequency linear sensor, the cavernous arteries are shown on the computer screen and the device calculates the speed of blood flow through them. In addition, the scrotum is examined. A non-erect penis will provide little information, only a control measurement.
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After the procedure, an erection may not occur, then the patient will need to perform self-stimulation of the penis until seminal fluid is released, at which time the diagnostician will leave the office. If the agitation does not subside after 5 hours, it is necessary to consult a urologist.
The results are deciphered as follows:
Evaluated characteristics:
- an indicator of the thickness of the tunica albuginea of the penis, as well as the level of its elasticity;
- reflection of ultrasound in the cavernous bodies. This is used to determine: the exact location of inflammation, the presence of pathologies, the development of fibrous plaques inside the penis and scrotum;
- dimensions (thickness and length) of the walls of the arteries in the penis;
- the speed of blood flow in the veins and vessels indicates the state of the circulatory system of the penis.
If, at the moment of full erection, the patient under examination experiences an outflow of venous blood, this indicates erectile problems.
The average cost of an examination in Moscow and St. Petersburg will be 1500-3000 thousand rubles. the price depends on the location, the quality of the equipment, and the professionalism of the diagnostician.
The disadvantage of Dopplerography of the vessels of the penis is the painful injection, which is administered to dilate the blood vessels, because of this, the subject may sometimes experience stress, and accordingly, an incomplete erection occurs or no erection at all. In this case, the patient can help himself with his hands or take Viagra.
Ultrasound of the penis– a diagnostic procedure that visualizes the internal structures of the male genital organ: spongy and cavernous bodies, tunica albuginea, vessels. The results are informative for erectile dysfunction, Peyronie's disease, tumors, hematomas and organ inflammation. Ultrasound of the penis is performed independently and in combination with ultrasound of blood vessels, with or without provocation of an erection. The cost of the technique is determined by the imaging mode, the availability of a pharmacotest, and the type of drug.
Preparation
Advance preparation for an ultrasound of the penis is not necessary. Before the procedure, it is necessary to perform daily hygienic care of the genitals.
What does it show
Basic ultrasound of the penis - two-dimensional gray scale echography (B-mode), displaying the structure of the cavernous and spongy bodies, the lining of the organ. Allows detection of fibrosis, tumors and injuries. Can be performed in combination with ultrasound, duplex and triplex scanning of blood vessels. Duplex study provides information about the size of veins and arteries, their capacity, and the direction of blood flow. Triplex scanning produces a color image that determines the speed of blood flow. A pharmacological test is used to obtain data on blood flow during an erection.
There are standard indicators for the structures of the penis and blood vessels: the echogenicity of the cavernous and spongy body is uniform, moderate, the diameter of the cavernous artery is 0.6-1.0 mm, the peak systolic velocity is 35 cm/sec, the end-diastolic velocity is 0-5 cm/sec . The following groups of pathologies are diagnosed using ultrasound:
- Erectile disfunction . With arteriogenic impotence, blood flow through the cavernous arteries is assessed. The diagnosis can be confirmed by a decrease in speed characteristics - peak systolic velocity less than 25 cm/sec.
- Vascular pathologies. Doppler ultrasound reveals abnormalities in vascular development, vein thrombosis, and atherosclerotic plaques. There is an expansion or narrowing of the lumen of blood vessels, changes in vascular architecture, uneven blood flow, and increased echogenicity of the vascular walls.
- Acute cavernite. Inflammation of tissues - cavernitis - is provoked by local and general infections (urethritis, sepsis), damage to the urethra. The ultrasound image shows decreased echogenicity and increased blood flow.
- Cavernous fibrosis. Pathological compaction of the cavernous bodies, or cavernous fibrosis, is formed due to chronic inflammatory processes, injuries, and priapism. Ultrasound signs of the disease are increased echogenicity, deformation of organ structures. With focal damage, heterogeneity of erectile tissue is determined.
- Neoplasms. Benign and malignant tumors, metastases are diagnosed as foci of altered echogenic density.
- Peyronie's disease. As Peyronie's disease progresses, the tunica albuginea thickens. Deformations of structures, plaques and compactions can be detected - areas of increased echogenicity.
Ultrasound of the genital organs is prescribed as part of a comprehensive diagnosis of andrological diseases. Scan results are not used in isolation to make a diagnosis, but are interpreted in conjunction with physical examination, clinical interview, and laboratory tests.
Advantages
Examination of the male external genitalia using ultrasound is a safe diagnostic technique. The procedure is completely painless, has no effect on health, and can be used repeatedly without any risks. Penile ultrasound is affordable compared to other imaging tests, such as MRI. Carrying out an intracavernosal test as part of echography of the penile vessels increases the cost of the study - it can vary slightly depending on the drug used. The disadvantage is the low resolution of ultrasound images and the inability to differentiate certain types of tumors.
Ultrasound of the penis is a diagnostic procedure performed non-invasively to obtain information about the health of the male reproductive system and identify pathologies, diseases and other complications or the absence thereof. The ultrasound procedure of the penis is absolutely painless and safe for the patient’s body. IMPORTANT: Ultrasound of the penis should be performed regularly not only by young people, but especially by men over 40 years of age. This prevention will allow you to avoid many complications and diseases of the male reproductive system.
Why do you need to do an ultrasound of the penis?
Examination of the patient using an ultrasound procedure of the penis allows us to identify visual changes in the cavernous and spongy bodies of the male genital organ, as well as the membrane and vessels of the penis. An ultrasound of the penis is prescribed by a urologist and is necessary in the following cases:
This examination allows a urologist to identify pathologies based on data on venous outflow, arterial inflow, vascular tone, elasticity of vascular walls, blood flow speed, and so on.
Preparing for an ultrasound of the penis
It is important to know that ultrasound of the penis does not require a special diet, special preparation of the patient or filling the bladder with fluid, only personal hygiene of the genital organs. Therefore, you can make an appointment with a urologist at any time convenient for you and undergo this important procedure for men’s health.
Make an appointment with a urologist
How is an ultrasound of the penis done?
This examination is one of the most comfortable and efficient for the patient. The general cycle of the penis ultrasound procedure follows the following algorithm:
The peculiarities of ultrasound of the penis include the fact that in some cases it is necessary to resort to pharmacological erection in order to more accurately examine the degree of filling of the cavernous bodies, the general blood flow of the organ and signs of deformation of the penis.
Penile ultrasound cost
| Name of service | Price, rub.) |
| Primary appointment with a general practitioner | 1500 rub. |
| Repeated appointment with a general practitioner | 1000 rub. |
| Primary appointment with a urologist-andrologist | 1500 rub. |
| Repeated appointment with a urologist-andrologist | 1000 rub. |
| Ultrasound of the prostate gland (transrectal + transabdominal) | 1500 rub. |
| Ultrasound of the prostate gland (transabdominal) | 1000 rub. |
| Ultrasound of the scrotum with colorectal dosage | 1500 rub. |
| Ultrasound of the penis (Doppler examination) | 2000 rub. |
Where to get an ultrasound of the penis in Moscow?
At the DoctorStolet multidisciplinary medical center, you can always undergo an examination - ultrasound of the penis. Our medical center is located between the Konkovo and Belyaevo metro stations. The journey from each of them will take no more than 10 minutes. Here you will find highly qualified personnel and the most modern diagnostic equipment. Our clients will be pleasantly surprised by our quite affordable prices.
The type of erection a man will have is influenced by the filling of the sexual organ, or rather its cavernous bodies, with blood. If this function is impaired, a Doppler ultrasound examination may be prescribed. This safe diagnosis will help determine the condition of blood vessels and general blood supply. The condition of deep arteries, which cannot be examined by any other method, is also assessed. Determining the cause of failure in erectile function is the main task of ultrasound examination. The method is safe and will not harm the male reproductive system or erection in any way.
Basics of the technique
The method of studying the vessels of the penis is based on the well-known Doppler effect. It consists in the fact that ultrasound waves tend to be reflected from moving blood cells. Depending on their speed, the frequency of the return sound wave will differ. Sent and received signals are analyzed and the results are displayed on the monitor in the graphics villa.
During diagnosis, peak systolic indices of blood flow velocity are measured. During this, the blood flow speed is calculated from zero to peak values per unit of time. If the criterion exceeds 100 m/s, this indicates damage to the vessel.
In addition, the distolic index is fixed. In a state of erection, this indicator should be equal to zero. If blood flow is recorded in this state, this indicates a pathological condition of the blood vessels.
Doppler ultrasound often has to be combined with other vascular examination techniques. For example, duplex scanning. In this case, it is possible to determine not only the narrowing of the arteries, but also the location of this narrowing. If this is observed, then a decrease in erectile function occurs due to vascular damage. This can happen due to chronic diseases such as diabetes or atherosclerosis.
When is it appointed?
In order for the doctor to prescribe a detailed examination of the vessels of the penis, a preliminary examination is necessary. If abnormalities and certain complaints are detected, the man is referred to a Doppler ultrasound procedure. Indications for the implementation of the method are:
- Erection problems.
- Lack of potency.
- Injury to the genital organ.
- New growth on it.
- Prescribed in case of refusal to check the state of erectile function using invasive techniques.
- Before plastic surgery on the genital organ.
This method has a number of contraindications, including:
- Inflammation on the penis.
- Fever.
- Sexually transmitted infections and other specific infections.
What can the procedure determine?
During the study, it is possible to discover the cause of deterioration in blood supply, and therefore the causes of erectile dysfunction.
In addition, the following pathologies can be detected:
- Vascular thrombosis at different stages of development.
- Tumor, malignant and benign.
- Fibrosis of the corpora cavernosa.
- Plaques on blood vessels.
- Arterial stenosis is a narrowing of their lumen, which interferes with normal blood circulation.
- Peyronie's disease.
- Consequences of injuries.
What parameters are being studied?
To carry out diagnostics, a special sensor is used, which is applied to the penis on both sides - this helps to examine all the structures of the organ. During an ultrasound, the following important organ parameters are examined:
- Velocity of venous and vascular blood flow. This indicator will tell you a lot about the blood supply to the organ and its speed.
- Diameter and thickness of artery walls. This can be done due to their surface location.
- Echostructure of the cavernous bodies. This will help determine possible inflammatory processes and their location. A detailed examination will make it possible to see the development of fibrotic pathologies in tissues. Pathological disturbance of blood flow.
- Elasticity of the protein membrane, parameters of its thickness. If thickening is observed, this indicates Peyronie's disease. It leads to curvature of the penis, fibrous changes occur in its tunica albuginea. When checking echogenicity, it is possible to detect the site of development of the pathological process.
- Parameter of blood flow in veins. There should be no venous outflow during the period of arousal; if it exists, this indicates erectile dysfunction.
How is the research conducted?
First of all, blood flow is studied in a calm state. After a detailed study, a special drug is injected into the penis, which provokes an instant erection. In this state, all necessary parameters are also checked.
If for any reason drug stimulation or puncture cannot be done, Viagra is used. This is often known before the procedure, so the patient needs to take the tablet 30 minutes before the test on an empty stomach.
In a state of erection, each phase of its development is examined, blood flow is measured every 5 minutes. The duration of the study does not exceed 40 minutes; upon completion, a protocol is issued.
Some features of the procedure
Many men are frightened not by the diagnostic process itself, but by the need to inject a drug into the penis. This will likely lead to pain at the puncture site. This can become a psychological barrier.
This condition is fraught not only with fears, but also affects the quality of the research. This is because stressful situations are accompanied by an increase in the tone of the nervous system. This leads to spasms of the cavernous arteries, so an erection may not be complete or may not occur at all. And this does not make it possible to obtain complete information.
In such cases, not only Viagra can be used, but also manual and audio and video visualization.
Another difficulty in using injection stimulation is maintaining an erection for a long time. In this case, self-stimulation is needed. If this does not help, and the erection lasts more than 4 hours, you should consult a urologist.
Conclusion. Ultrasound scanning of the penis is a procedure that will help determine the cause of erectile dysfunction. The procedure cannot be called completely painless, since injections are used, but there is an alternative for them.
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