The appearance of impotence, a common sexual dysfunction, greatly impairs the quality of sexual life of male patients, so it is necessary to promptly detect the symptoms of impotence and provide timely treatment. Regarding the examination of impotence, experts say that patients with impotence generally need to undergo some relevant auxiliary examinations, which are helpful for the diagnosis of the cause and treatment of the symptoms. Below is a detailed list of various examination methods for impotence.
First: Psychological examination: Conduct psychological surveys and Q&A scores to determine whether it is functional impotence.
Second: Penile blood flow measurement: The blood flow of impotent patients decreases when the penis is erect.
Third: Penile blood pressure measurement: Normal penis blood pressure is lower than cerebral artery blood pressure, with a difference of 266kPa.
Fourth: Drug induced penile erection test: used to identify vascular impotence.
Fifth: Laboratory examination: Blood examination includes examination of peripheral blood, such as blood routine and platelet tests, as well as laboratory examination of venous blood, including liver and renal function, blood electrolytes, blood glucose, blood lipids, blood T3, T4, plasma cortisol, and sexual hormones (such as FSH, LH, and PRL). Urine routine, urine sediment, urine flow rate, urine 17-ketosteroids, urine 17-hydroxysteroids, urine creatinine, etc. Through laboratory examination, we can know whether there are urinary diseases, prostatitis, diabetes, adrenal cortex hyperfunction or hypofunction, thyroid dysfunction and other diseases.
Sixth: Penile cavernography.
Seventh: Neurological examination: to distinguish between functional and organic impotence.
Eighth: Measurement of bladder pressure volume: Observe whether the bladder pressure volume curve is abnormal.
Ninth: Electromyography measurement of bulbocavernous muscle reflex: examination for the diagnosis of neurological impotence.
Tenth: Penile arteriography: Check the function of the internal pudendal artery.
Chapter 11: Doppler Penile Artery Ultrasound Examination: Determine the examination method for vascular impotence.
Twelfth: Penile pulse volume measurement: can understand whether there are vascular lesions.
Thirteenth: Nighttime penile erection test: including stamp test, circumference measurement, penis volume tracing, etc.
The above 13 methods are all the methods for examining impotence in clinical practice. However, experts are here to remind everyone that when treating impotence, it does not mean that you must perform all the tests once, which can cause mental stress to the patient. Doctors will conduct some aspects of the examination based on the patient's actual situation, and then provide symptomatic treatment based on the results of the examination.
(Intern Editor: Xie Yunsheng)