What should I do for male erectile dysfunction? Two common methods for examining male erectile dysfunction

Erectile dysfunction refers to the male's persistent or repeated inability to achieve or maintain enough rigidity of penis erection under sexual stimulation to complete satisfactory sexual intercourse. Having this disease will have a great impact on the physical and mental health of men, so we should treat it in time. Before treatment, it is necessary to make clear what examinations should be done. This is the key to disease based treatment. Male erectile dysfunction and other diseases have brought too much harm to our patients. This disease will make patients feel shameless and affect their self-esteem.

What special examinations should be done for male erectile dysfunction:

1、 Penile blood flow detection

Penile vascular disease is an important cause of organic erectile dysfunction, that is, arterial blood supply disorder and venous occlusion mechanism disorder.

2、 Vasoactive drug induced erectile test

At present, papaverine 30-60mg, phentola 1-2 mg or prostaglandin E20 μ g. Used alone or in combination. When the drug is injected into the sponge, the penis can achieve a hard erection, lasting for more than 30 minutes, indicating that there is no obvious vascular disease, but there is still the possibility of false negative. The injection was supplemented with sexual stimulation, with high reliability. Complications such as ecchymosis, hematoma, abnormal erection of penis may occur.

3、 Penile Doppler ultrasound monitoring

The ratio of penile artery blood pressure to brachial artery blood pressure (pBI) was measured. Less than 0. 6. It indicates that the blood supply of penis artery is impaired. The absolute difference between the two types of systolic blood pressure should not exceed 4kpa (30mmHg).

4、 Color duplex Doppler ultrasound detection

It is one of the most valuable non-destructive testing methods to detect the structure of cavernous body, the diameter of blood vessels, the velocity of blood flow and the function of vasodilation and contraction, and to dynamically detect the changes of penile artery and venous hemodynamics, cavernous resistance index and other erectile dysfunction during the process of erection.

5、 Intravaginal arteriography

For those suspected of penile artery blood supply disorder, the anterior internal arteriography of penile artery reconstruction was performed to observe the pathological changes of both dorsal penile artery and cavernous artery.

6、 Erectile nerve detection

Nerve plays an important role in erectile mechanism, so routine detection and erectile related nervous system are very important in etiological diagnosis, especially in patients with brain, spinal cord, pelvic trauma and diabetes history.

Common examination methods of erectile dysfunction

1. Laboratory examination is one of the examinations for erectile dysfunction: routine blood and urine tests, liver and kidney functions are screening examinations, focusing on blood sugar and urine sugar: diabetes often causes vascular and nerve damage, and about 1/2 of diabetes patients have erectile dysfunction complications.