Ultrasound of the penis: what is the procedure

Ultrasound examination of the penis is a man very informative method of diagnosing the state of the male body in its various diseases. It is absolutely safe study, so it can be carried out repeatedly.

It should be noted that for prevention ultrasound to perform meaningless, because the reason for the appointment procedure should be the emergence of certain "alarm" symptoms.

If a man feels great, and he had no problems with the functioning of your reproductive organ, ultrasound is not necessary to carry out, because it still does not show anything of value. But if there are any complaints ultrasound can be very useful.

But before that, in any case, you must visit a doctor-urologist or andrologist, that he has speculated on the causes and gave direction to the research. The indications for the test may include: erectile dysfunction, the occurrence of tumors in the body tissues, its curvature, and other injuries.

In carrying out ultrasound of the penis is estimated several indicators.

First of all, it is the speed of the movement of blood through the arteries and veins of the penis, as it determines the condition of the vessels, respectively, allows to draw preliminary conclusions about the cause of impotence, of course, if it was she who was the reason for diagnostics. When resting, the blood flow rate should be 15-25 cm / s, and during erection - from 35 cm / s. It is also possible to determine the diameter of the cavernous arteries, normally it is 0.2 to 1.4 mm.

Specialist inter alia must still estimate structure body tissues, primarily its echogenicity of the corpora cavernosa.

In these structures, the symptoms can be detected circulatory disorders, fibrosis (scarring), inflammation, the presence of lesions and other changes.

Necessarily need to measure the thickness of the tunica albuginea - a diaphragm which covers the structure of the male sex organ. At rest it should be 1-2 mm but during erection stretched and becomes thinner (0.5 mm).

You may not be entirely clear, which makes the study of these parameters.

For example, if the penile artery are narrowed, the blood flow in them is very low, it indicates that the the patient's vascular origin of erectile dysfunction (this happens more often in diabetes, atherosclerosis and the like).

If a representative of the stronger sex thickened, dense albuginea with seals and plaques, then he is likely to Peyronie's disease. It is a rare disease that is characterized by the curvature of the penis due to fibrotic changes this very tunica.

Preparation and conduct ultrasound procedures penis

Ultrasound examination ultrasound of the penis is performed duplex method, ie when the first diagnosis is carried out in the normal state of the penis, and then after stimulation of his erection. Stimulation may be performed or mental medication (pharmacological test) method.

Thereafter, the physician and compares the power spectrum of the signal obtained to the sample, with the parameters of signal of the sample after an erection. Since the arteries have a surface location, blood flow parameters are measured in the dorsal arteries, which are on each side of the male member.

How else to prepare for the procedure is not necessary. Primarily the doctor detects blood flow in the absence of voltage and conducts scoping ultrasound. This determines the cross section of the corpora cavernosa, and visualized vessels.

Thereafter produce erection stimulation that occurs in stages, is then recorded blood flow in each phase. The procedure itself takes less than an hour.

All measurements are made at one place, and after all the stimulation parameters are recorded 5-6 times at intervals of 5 minutes.

The survey is conducted in a horizontal position on the couch. In order to improve contact with the sensor, the penis of the man applied a special gel.

By moving the sensor visualized structure of the penis, and another recorded spectra reflected from the deep arteries and veins.

If pharmacological erections in the corpus cavernosum specific dose administered, on the basis of the previously applied special penis turnstile. After finishing ultrasound procedures the physician immediately outputs man survey results.

Normal echogenicity indicates healthy tissue. If the echogenicity of the corpora cavernosa is increased, it indicates fibrosis and reduced - of inflammatory processes.

Hyperechogenicity membrane is the main symptom of Peyronie's disease. Increased echogenicity vascular wall is a symptom of vascular lesions.

Increased lumen of the cavernous arteries speaks of anomalies of development, and the restriction - of atherosclerosis, autoimmune disease, or diabetic.

Ultrasound examination of the penis gives more detailed information about the vascular factor in the presence of the male erectile dysfunction or impotence. With the help of ultrasound can determine the degree of impairment of arterial and venous blood flow.

And thanks to the re-investigation can trace the dynamics and determine the effectiveness of the treatment. The degree of echogenicity cavernous tissue determines sizes of fibrous plaques (Peyronie's disease), as well as with high accuracy identifies calcification in the plaque.

To get the correct conclusion, ultrasound of the penis must be carried out exclusively by an experienced urologist with expert class scanner.

A drug that is administered to stimulate erection procedure typically included in cost. Experts give preference to ultrasound in the diagnosis of male intimate diseases.

This survey provides the most accurate information and allows you to trace the dynamics of the treatment process.

A source: https://menportal.info/story/dlya-chego-provoditsya-procedura-uzi-polovogo-chlena

Uzi penis: how it's performed, norms and deviations

Ultrasound of the penis - is an accessible and informative method of diagnostics of the male urogenital system.

Its application is effective for detection of abnormalities in the body structures, changes spongy, cavernous bodies and a number of other problems. Ultrasound of the penis often has no alternative.

It is safe, therefore, can be performed at any age and many times. However, as an independent research is rarely used, as a rule, carried out in conjunction with the Doppler.

What are the parameters studied

Ultrasound of the penis measured a number of indicators:

• rate of blood flow through the arteries and veins, which characterizes the state of body vessels;
• diameter and thickness of arterial walls;
• echogenicity of the cavernous tissue. According to the results of circulatory disorders may recognize the symptoms of fibrosis, inflammation, the presence of lesions;
• thickness and elasticity of the membrane (tunica albuginea) of the penis;
• parameters of venous blood flow. The presence of venous outflow at the time of the absolute erections - a sign of erectile dysfunction.

What violations detects ultrasound Doppler and Doppler without

A study of the penis using a conventional ultrasonic sensor can detect:

• neoplasms of the urethra, and penis;
• vascular clots;
• lesions in the penis;
• the scars and foreign bodies in the urethra;
• kaltsinizatsiyu erectile tissue;
• the state of the cavernous and spongy bodies;
• structure formation (if any) and the degree of running processes.

Ultrasound of the penis with a Doppler effect to determine:

• disorders of blood flow velocity;
• causes of premature ejaculation;
• vascular tone;
• state of vascular walls, their elasticity and structural changes;
• particularly arterial inflow and venous outflow of blood from the body.

Disease and disease of the penis, which can diagnose the urologist

Ultrasound of the penis can detect a wide range of pathologies and accurate diagnosis the patient. These include the following violations:

• Vascular thrombosis - inflammatory thrombosis of the venous wall, characterized by the formation of thrombi, which overlap the vascular lumen. The disease significantly increases the risk of death in men with cardiovascular disease;
• Malignant and benign. Provided timely diagnosis and therapy of benign tumor prognosis favorable. Elimination of malignant tumors without serious consequences is possible only in 60% of cases, even if it is detected at an early stage.
• Fibrosis of the corpora cavernosa - partial or complete replacement with scar tissue cavernous bodies of the penis accompanied by various deformations of the body (curvature, shortening, narrowing). This pathology violates male erectile function;
• Atherosclerotic lesions - a dangerous disease characterized by narrowing or complete blockage of the blood vessels of the penis. Can decrease libido, chronic impotence, disorders of urination and prostate adenoma;
• Stenosis of the arteries of the penis - a serious pathology, in which the lumen is closed by more than 70%. Drug treatment is ineffective in this case, to adjust blood flow is possible only through surgery;
• Peyronie's disease - a pathology characterized by the curvature of the penis due to the degeneration of his fibroplastic tunica. Disease occurs infrequently - 0.5-1% of men aged 35-60 years;
• Traumatic effects (cavities, abscesses, shortening and deformity of the penis, erectile dysfunction, urethral stricture);
• Congenital anomalies of the body.

testimony

Ultrasound of the penis - the key examination in the search for causes of erectile dysfunction. In addition to impotence, Indications for the procedure are:

• injuries of different nature;
• fracture of the penis;
• local swelling;
• the curvature of the penis, which may indicate Peyronie's disease;
• presence of tumors;
• decrease in erectile function;
• preparation for surgical or cosmetic surgery in the art;
• swelling or pain during urination;
• pain or discomfort during sexual intercourse;
• the scars and bruises;
• suspected foreign body, or urethral diverticulum;
• stricture (narrowing) of the urethra;
• suspected atherosclerosis vessels of the penis accompanied by weakening potency;
• suspected development of cavernous fibrosis;
• varicocele - one of the most unpleasant and dangerous disease for men - veins located in the testes;
• monitoring of the patient in the postoperative period;
• evaluation of the effectiveness of treatment.

Also penile ultrasonography prescribed to patients who refuse to undergo invasive diagnostic method for erectile dysfunction.

Training

Ultrasound of the penis requires no special training. However, it should adhere to certain recommendations, that the doctor was able to most accurately assess the state of the body and put the correct diagnosis.

you must:

• 1-2 days prior to the survey to refuse admission for the treatment of erectile dysfunction;
• Conduct a thorough intimate hygiene treatment zone and directly to the penis;
• On the day of the study to refrain from masturbation and sexual intercourse;
• 1-2 to completely eliminate the use of alcoholic beverages.

It is also desirable to urinate before the examination. When the urgency of the situation may be going to the toilet for 30 minutes before the procedure.

How is the procedure

For the success of the ultrasound of the penis, you must have two mandatory factors:

• Urologist diagnostician is highly skilled, professionally owning ultrasound procedure;
• Availability of modern high-quality equipment.

Duration of treatment is about 30-60 minutes. The patient is supine. At the discretion of the doctor man's foot can be straightened or half-bent knees. The penis is placed on the abdomen or on the folded towel between the thighs.

Initially held scanning overview resting body condition on the penis the doctor does a special gel improved contact with the sensor, then sensor conducts the skin for evaluating anatomical structures and starting blood flow.

To determine the deformation member, blood flow and blood filling the cavernous bodies evaluation conducted pharmacological test - the introduction of vasoactive drugs into the penis to create an induced erection. This requires the imposition of special elastic tourniquet to the base of the penis.

Injection with a special preparation (Kaverdzhekt, vazaprostan et al.) Is performed with a fine needle directly into one of the corpora cavernosa under ultrasound. It is almost painless and takes only a few seconds.

Typically, preparation of prostaglandin E1 is used, in which the threat of priapism is significantly reduced - prolonged painful erection induced artificially (not due to sexual stimulation) and after discontinuing sexual intercourse.

For a full evaluation of blood vessels use duplex color mapping. Arteries estimated phase turgenstsentsii (or swelling), and stiffness (erection), vein - in detumescence phase (decay erections).

Features of the procedure

A common problem in men during the procedure - the psychological factor.

The introduction of the drug into the penis by injection can cause the appearance of a man's fear of pain, resulting in activated stress mechanisms, increases the tone of the nervous system.

There is a psychological barrier. This all can lead to spasm of the arteries in the corpora cavernosa, which is why erections would be incomplete or absent altogether.

"Lifebuoy" in such situations - alternative methods of stimulating an erection (reception of Levitra or Viagra). It can also be used a manual (hand) and audiovisual (erotic video, photo) incentives to improve the quality of erections.

The peculiarity of the procedure - a fact long-acting drug, which is why the penis can be a long time in the erect state. To eliminate this "nuance" man is permitted to resort to masturbation.

If after that erection persists longer than 4 hours (priapism), is an urgent need to address for consultation to the urologist. In such a situation, especially high risk are patients suffering from diabetes.

Therefore, the patient should tell your doctor in advance if he is suffering from this disease.

It is also worth noting that after the pharmacological erection should not be allowed to re-erection earlier than 4:00. This is extremely dangerous for the erectile function and can lead to its complete loss.

Decoding results

Results of US made a doctor in a special protocol:

• Echogenicity. If abnormalities were not detected, then in deciphering the Stamps 'normal'. Hyperechogenicity suggests cavernous fibrosis, hypoechogenicity - inflammation of the corpus cavernosum (acute cavities).
• Changes in the cavernous bodies. Norm is a homogeneous structure. Inhomogeneous structure of tissues is a sign of cavernous fibrosis.
• Pathology albuginea of ​​the penis. At rest, the membrane thickness should be about 2 mm, at an erection - 0.5 mm. Exceeding this value may be indicative of Peyronie's disease. Albuginea should have a "normal" echogenicity. Identification hyperechogenicity - an occasion for the appointment of additional screening for vascular lesions.
• Diameter arteries OK - from 0.2 to 1.4 mm. Excess index (greater than 1.4 mm) indicates the abnormal development of blood vessels of the penis. The diameter less than 0.2 mm indicates the presence of pathologies associated with diabetes, atherosclerosis or other autoimmune diseases.

Indicators of the intensity of blood flow during systole rules:

At rest, the body condition	15-25 cm / sec
during erection	35 cm / sec

Non-compliance with evidence of arterial insufficiency. In systole should mark a significant resistance arteries.

The intensity of the blood flow in diastole:

At rest,	0 cm / sec
during erection	10 cm / s

Pulse index rate - more than 4.

Normal levels of resistance index:

At rest,	0,8
When the excitation	0,7
during erection	1,0

Contraindications

Holding ultrasound of the penis is contraindicated if there is:

• open wounds on the penis;
• acute inflammation of the body;
• infections, sexually transmitted infections, and other specific infections that require immediate treatment.

Can there be side effects after the test?

in general, the procedure is safe and painless. However, the patient may experience slight pain at the time of injection to induced erections and discomfort if he had found any organ damage in the acute stage of infection.

Also at the injection site may be a small bruise, sometimes there is a slight dizziness. These symptoms pass quickly. But in order to avoid such complications, some clinics are more inclined to use alternative methods of stimulating an erection.

What additional procedures may be assigned?

In some cases, your doctor may prescribe ultrasound of the scrotum with Doppler blood vessels. With it will assess the state of the patient's scrotum and the quality of blood flow in it. As ultrasound of the penis, scrotum examination does not require special training. The procedure is completely painless and non-invasive.

A source: https://medcentr-diana-spb.ru/uzi/uzi-polovogo-chlena/

Why and how to do ultrasound of the penis?

Assess the state of the genitourinary system in men, and learn about the pathologies in this area will help to ultrasound of the penis. This diagnostic procedure - one of the most interesting, it allows you to get a lot of useful information on the work of the genitourinary system man.

When administered?

This survey is the key to finding the causes of impotence.

Important! More than 50% of cases, erectile dysfunction cause disturbances of vascular blood supply, and for this reason ultrasound is easy to identify.

It is important not to neglect the ultrasound, especially if there is direct evidence for the procedure:

• trauma of the penis;
• Body curvature may be caused by a congenital anomaly or fibrous tissue overgrowth, she Peyronie's disease;
• preparation for plastic surgery in the art;
• decrease in erectile function;
• neoplasms, visible or visually perceptible by palpation;
• preparation for surgery on the male genitalia;
• swelling or pain during urination;
• pain or discomfort during sex;
• suspected foreign body, or urethral diverticulum;
• stricture (narrowing) of the urethra.

When the biopsy surgeon may refer the patient to the ultrasound of the penis.

Besides, ultrasound diagnostics (such as Doppler ultrasound: it is UZDG) - an important part of preparation for the most surgical and cosmetic surgery and patient monitoring in state postoperatively.

US allows trace reaction to the prescribed treatment, thereby setting its effectiveness. Applied ultrasound and to detect tumors in the body of the patient, cysts and inflammatory processes.

What look?

Ultrasound provides an important opportunity to evaluate the deep changes in the structure of the penis, as well as see the status of all parts of the penis (the corpora cavernosa and the spongy, tunica membranes, arteries and veins).

If we examine the male sexual organ with ultrasound, can be:

• detect neoplasms of the urethra, and penis or to make their absence;
• identify vascular clots;
• not only to assess the state of the organ, but also see the beginning changes in it;
• in the presence of formations to investigate their structure and determine the quality of the process.

UZDG vessels - it is a diagnostic method, wherein a high information content. It is an association of the ultrasonic diagnostic method and Doppler. It allows the urologist to find out:

• the level of vascular tone;
• on the state of the vascular walls, their elasticity or structural changes;
• about the features of arterial inflow and venous outflow of blood from the body;
• of blood flow velocity.

Thus, Doppler ultrasound plays an important role in determining the malfunctioning blood flow. And if the reduced blood flow in the vessels supplying the penis with blood, or broken blood flow, the problems with body functions can not be avoided.

Training

From patients who are planning to ultrasound of the penis, does not require special training. They do not need to drink to bladder filling or adhere to dietary table. the procedure time can also be arbitrary.

How to do it?

During the examination the doctor will ask the patient to lie on his back on the bed and straighten (or bend and diluted) legs. The penis is located on a towel placed between the legs, or stomach.

The first step of procedure - a gray-scale echography which is a survey study. On the conductive member is applied to the gel and with a sensor doctor evaluates the anatomy of the body, as well as its blood flow is not erect. In Doppler ultrasound diagnostic apparatus allows to evaluate and record the Doppler spectrum arteries located in the deep layers of the body.

Reference! To fully appreciate the vascular blood flow, it is better to use with color duplex ultrasound mapping in two phases: turgenstsentsii (swelling), and stiffness (ie an erection).

In these phases optimally evaluate the arteries, but the evaluation of the veins occurs when the erection is declining.

Mapping allows you to see the intensity of the blood flow in different vessels, as they are indicated on the screen ultrasonic apparatus in a different color. Doppler ultrasound is performed immediately after the ultrasound examination on the same apparatus.

If necessary, the doctor may use a pharmacological erection, in order to establish the degree of filling of the corpora cavernosa, blood flow rate and strain symptoms.

Reference! The procedure is a turnstile installation plastic member into a lower portion and an introduction to the corpus cavernosum of the selected drugs. Typically, the appropriate dose used "Vazoprostana" or "Kaverdzhekt".

It occurs resorption of the drug throughout the body structure, and a member becomes erect. Then he again inspected using ultrasonic sensor and Doppler equipment. Then diagnostician leaves the room, allowing the patient to remove the action of the drug by self-stimulation.

Due to the injection stimulant man may feel discomfort in the study area, why can not complete the erection. If you can not postpone the procedure due to the occurrence of such a situation, the patient himself must stimulate the body to a state of full erection. Naturally, in the absence of a doctor who briefly out of the office.

All manipulations last about 30 minutes, with the patient's doctor warns that prolonged erection (longer than 4 hours) - is dangerous and fraught with complete loss of potency.

Important! If you remove an erection does not work - it is an occasion for urgent consultations with the specialist for men's health.

Decoding and norms

Anatomy of the penis - the two cavernous bodies and located down between spongy body. Cavernous (or cavernous) body during inspection ultrasonic sensor visualized as spherical, homogeneous hypoechoic structures gray surrounded by hyperechoic thin (and hence lighter) layer, referred to as the tunica shell.

Spongy body normally has a uniform spongy structure and shape of circularity and a relatively large echogenicity. Urethra passes through it, looks like a line.

According to the ultrasound protocol is determined by:

1. Echogenicity - a healthy person is referred to as "normal". Echogenicity increasing - a sign of cavernous fibrosis. Reduced characterizes acute cavities, that is inflammation of the corpus cavernosum.
2. The structure of the corpus cavernosum in the uniform norm, and any blotches speak about the development of a cavernous fibrosis, which is characterized by the replacement of normal tissue by fibrous.
3. Albuginea body should be a certain thickness: at rest - not exceed 2 mm and in erection - 0.5 mm.
4. Echogenicity shell - must be designated as the "normal" Hyper Gain echogenicity also indicates Peyronie's disease.
5. Echogenicity of the arterial wall - should be "normal", it is He emphasizes the word doctor in the minutes in the absence of deviations. If the index increased, then we are talking about vascular lesions.
6. Diameter cavernous vessels - normally ranges from 0.2 to 1.4 mm. The expansion of the lumen of said vascular anomalies, and the restriction - of the pathology associated with autoimmune diseases, such as diabetes and atherosclerosis.

Norms UZDG:

1. The greatest reduction in blood flow rate in a state of rest in the arteries of each of the structural parts of the penis is 15-25 cm / c. At the start of blood filling cavities rate is more than 35 cm / s, but with the full bit erection decreases. If the figures less than the norm, we are talking about arterial dysfunction.
2. In systole should mark a significant resistance arteries.
3. Total rate of blood flow through the arteries during diastole is approximately equal to 0, but at an erection will be from 10 cm / c or more.
4. pulsatility index - normally more than 4.
5. resistance index - alone must be greater than 0.8 at the beginning of erection it is reduced by 0.1 or more, but then reaches 1.0.

Determined by blood flow in the deep dorsal vein - with the introduction of the drug in a state of full erection blood flow should stop completely. If it persists even in a small degree - is a sign of erectile dysfunction.

After the procedure, the patient receives a report with the results of the survey, the doctor prepares the document immediately after the ultrasound.

Contraindications

Restrictions on the US conduct can only be an open wound at the site of manipulation.

What else can appoint a doctor?

In addition to the diagnosis of the penis can be assigned to an ultrasound examination of the scrotum with Doppler vascular study. It will provide an opportunity to evaluate the functional parameters of the patient's scrotum, the amount and speed of blood flow, as well as to identify possible abnormalities. This survey requires no preparation, it is painless and noninvasive.

Where to do and how much it costs?

The research cost includes the price of the input drug substance, averaging procedure will cost the patient in the 1500-2500 rubles. Pass fee ultrasound of the penis can be in any diagnostic center, and free - in an urban clinic in the community, with the direction of a physician and MHI policy.

Ultrasound examination of the penis - the most important part of the diagnosis of erectile dysfunction and abnormalities of the male urogenital system.

Procedure practically no alternatives to its informational content, Safety and comfort - even it does not involve the preparation.

However, there are features of the study of any body, and penis - no exception.

Doctors recommend to explore the penis regularly in order not to miss the initial stages of the disease. And if the treatment is already assigned, it is best to pass it in full and to monitor the effectiveness of using ultrasound, observing all advice urologist.

A source: https://MediGid.com/uzi/organy/malyj-taz/muzhchiny/polovoy-chlen.html

What is the procedure ultrasound of the penis? - Home Treatment

Ultrasound of the penis is assigned to identify the causes of male erectile dysfunction, in preparation for plastics, with developmental disorders, injuries and tumors. Ultrasonography is painless and view informative diagnosis having a high degree of reliability.

Examination of the ultrasonic method is safe, it can be repeated many times. Prices for the procedure are readily available, and the method itself ultrasound diagnosis is widespread.

Which can be determined through a survey?

The procedure is performed using an ultrasound scanner, an image is formed by superimposing the reflected ultrasonic waves. In the study estimated some indicators:

• Determined rate at which the blood moves through the arteries and veins. It describes the state of vessels of the penis.
• Due superficial arteries using ultrasound is possible to measure their diameters and wall thicknesses.
• Evaluated echogenicity cavernous tissue, which allows to identify inflammatory lesions, fibrosis, blood disorders and other pathological processes.
• Defined thickness and elasticity of the membrane (protein coat) of the penis.
• The parameters of venous blood flow. The presence of venous outflow at the stage of full erection is indicative of erectile dysfunction.

Ultrasound of the penis is usually combined with Dopplerografіcheskoє studies (method of color mapping). During the procedure is conducted pharmacological test.

If the ultrasound diagnosis showed that the lumen of the artery is narrowed and blood flow rate is insufficient, then the origin of erectile dysfunction may be vascular. Such a condition may be due to vascular underlying disease, such as atherosclerosis or diabetes mellitus.

Thickened tunica albuginea of ​​the penis may indicate the presence of Peyronie's disease, in which the curvature of the penis accompanied by fibrotic changes in its membrane. Echogenicity of tissues of the penis allows you to determine the place of localization of the foci.

How is the procedure?

US vessels of the penis is performed by a duplex when diagnosis is carried out initially in the normal state of the penis, and then after stimulation of its erection. Stimulation may be performed medication (pharmacological test) or a mental process.

The physician compares the power and spectrum of the sample to the signal parameters of the signal samples after an erection. Since arteries have a surface location, blood parameters measured in the dorsal artery, available on each side of the penis.

Not specifically to prepare for the procedure is necessary. Specialist urologist conducting a survey in a specific order:

• First, the doctor registers blood flow in the absence of voltage and conducts scoping ultrasound. Thus visualized vessels determined cross-sectional view of the corpora cavernosa.
• Stimulation erection is then carried out, the formation of which takes place in stages, and record the blood flow in each of the phases.

Ultrasound procedure penis takes about an hour, the measurements made in one place, and after all the stimulation parameters are fixed 5-6 times at an interval of 5 minutes.

When the examination person is in a horizontal position on the couch. For improving contact between a sensor applied to the penis special gel. When the sensor moving apparatus is completely visualized structure of the penis and also recorded spectra reflected from the deep arteries and veins.

If pharmacological erection is carried out by introducing the required dose of drug into the corpus cavernosum, at the base of the penis previously applied special turnstile. After finishing ultrasound procedures doctor immediately gives the patient the results of the survey.

What do the results?

Echogenicity, indicated in the results of ultrasound as a "normal" indicates healthy tissue. Increased echogenicity corpus cavernosum suggests fibrosis and reduction - of inflammatory processes.

Gіperehogennost membrane is a sign of Peyronie's disease. Increased echogenicity vascular walls is indicative of vascular lesions.

The increase in the lumen of the cavernous arteries indicative of developmental abnormalities, and the restriction - of atherosclerosis, of an autoimmune disease or diabetes.

Ultrasound of the penis gives you detailed information about the vascular factor in the presence of the male erectile dysfunction or impotence. Ultrasound method allows to reveal the degree of impairment of arterial and venous blood flow.

Repeated surveys make it possible to trace the dynamics and determine the effectiveness of the treatment.

The degree of echogenicity of the cavernous tissue of the penis to determine the dimensions of fibrous plaques (Peyronie's disease) and accurately identify calcification in the plaque.

Price is introduced to stimulate an erection drug is usually included in the total cost of the procedure. US experts believe the best method in the diagnosis of male intimate diseases. A similar survey makes it possible to obtain reliable information and allows you to trace the dynamics of the treatment process.

A source: http://ok-doctor.xyz/dlia-chego-provoditsia-procedyra-yzi-polovogo-chlena/

Uzi penis: vessels and scrotum with Doppler

Among painless diagnostic procedures, the purpose of which it is possible to repeatedly appears ultrasound of the penis. The bottom line is that the study is a completely safe and, often, do not have alternatives. The results of this diagnostic method to determine the state of the body men, the presence of a pathology or damage.

when appointed

To determine the structural components of the cavernous tissue of cavernous (hollow) cells and vascular organ systems, conducted a study using ultrasonic waves. Such a diagnosis is required when:

• mechanical damage penis (fractures, trauma);
• development of impotence, libido incidence;
• suspected Peyronie's disease, which is manifested in the form of overgrowth of fibrous plaques;
• congenital distortions;
• growths or other tumors in the penis;
• preparation for surgery plastic character.

In cases where the survey results are not describe the pathology of the applied ultrasound doppler - Doppler (Doppler ultrasound). This diagnosis is based on a more modern method of color mapping. Ultrasound waves reflected from blood particles moving through the vessels, denoting different shades of speed change.

What is detected by means of Doppler ultrasound

Ultrasound of the penis with the use of Doppler ultrasound, held immediately after the usual research procedure or after the evaluation of the results of the procedure by the attending physician. The use of color mapping provides additional information about the status of the penis:

• figure velocity blood flows to the body, transported through the arteries;
• parameters of arterial vessels;
• speed performance of the molded body from the blood, transported veins;
• characteristic veins.

Thanks to this type of disease can be determined in the structure of tissues, and in the implementation of the normal blood flow. From quality to ensure the latter depend on healthy tissue, erectile function and overall well-being of men.

Preparatory process

Due to peculiarities of the body, preparatory procedures before ultrasound of the penis are reduced to zero. There is not even the standard requirements to maintain a certain diet regime or bladder filling.

On the day of the survey to be enough time in the laboratory. To expedite the process should wear comfortable, easily removable pants and underwear.

How is the examination body

Implementation of the procedures themselves carry out a certain action algorithm. Namely:

1. The patient is undressed from the waist down, takes a lying position on the couch.
2. A special applied to the penis, not provoking allergic composition, which ensures accurate contact of the reader with the skin organ.
3. The reading sensor moves across the surface of the penis to get a full picture of the vascular tissue (especially if you are using Doppler).

If you suspect that a specific list of diseases in the procedure can participate scrotum. The testicles are also often prone to the development of pathologies, as well as the penis.

US vessels in the penis does not stop carrying out research in the penis flaccid state. Provision is also the creation of artificial (pharmacologic class) excitation.

For his achievements to the base body is applied elastic kind of turnstile that allows you to enter into the lumen of the cavernous calf stimulating substance.

This provokes filling the cavernous calf blood, which leads to an erection.

In this state organ studies the procedure is repeated in the same sequence. After completion of the doctor leaves the room, the patient was able to remove the effect of the administered drug. As a rule, it uses sexual (self) stimulation.

Typically manipulation cabinets visitors are given tissue or paper towels for purification from the gel and semen. However, in order to guarantee the purity of better bring a towel or a pack of wipes with you.

possible nuances

Even after the introduction of a stimulating substance, the penis may remain in an incomplete excitation. This is due to the psychological discomfort of such research.

In view of the need to obtain the detailed information on the pathologies, the patient will need help. In this case, the health worker leaves the office, giving the man time for self-stimulation of the penis.

Explanation of the data

Immediately after completion of the procedure, the patient is issued on the hands of the survey. Put them diagnose or refer to additional procedures may only be a doctor, but understand what the indicator is knocked out of the norm, may itself examinee.

The normal level of performance

type of study	Evaluation of	The result of the protocol
Ultrasound of the penis protocol	echogenicity	Norm
The structure of the cavernous type cells	homogeneous
Tunica albuginea (BO)	Calm state - up to 2 mm; erection - 0.5mm.
echogenicity BO	Norm
Echogenicity cavernous vessel walls	Norm
vascular diameter cavernous type	0,2-1,4mm.
UZDG	The maximum speed limit in the arteries of the corpus cavernosum during systole	Calm state - 15-25sm / s; incomplete erection - no less than 35 cm / s; excited state - up to 35 cm / s.
Resistance arteries during systole	high
Speeds of blood movement in diastole	At rest - about 0sm / s; during erection - from 10 cm / s.
Index pulse index	Of 4 and above.
Resistance (index)	Calm state - more than 0.8; incomplete erections - 0.7; full erection - 1.0.
Blood flow in the deep dorsal venous vessels	When full erection - completely stops.

Indicating pathology

On the development of diseases or lesions in the presence of the organism may indicate a deviation from the normal level of performance in any direction (up / down).

Thus, the status of "above the norm" in the parameter echogenicity indicates fibrosis cavernous vessel. Reduction indicates inflammation in the corpus cavernosum of the acute form of the flow.

On the fibrosis of the cavernous type also indicates heterogeneity of the corpus cavernosum.

Too thick albuginea confirms suspicion of Peyronie's disease, as well as increase its echogenicity.

When enhanced echogenicity arterial vascular tissue (cavernous type) can be judged on vascular destruction. The defeat, as a rule, is the nature of atherosclerotic or just as often - a diabetic.

Increasing the diameter (figures patency blood fluid) in the cavernous vessels suggests genital anomalies in development. Narrowing the diameter indicates the pathology of atherosclerosis, diabetic or autoimmune type.

Decrease the maximum fluid velocity within the corpora cavernosa in vascular systole is an apparent reason for arterial insufficiency. If when the pharmacological erection blood flow is not stopped in the deep dorsal vessel, there is evidence of impotence.

The unique method

In many patients, causes stress the mere mention of the need for injections in the phallus. An alternative to this facility can be challenging reception pills (Cialis, Viagra, Levitra).

In this case, the patient is important to remember that both types of drugs have the side effect of several hours are not decreasing erection. Because, if the penis is in a state of excitation of more than 3-4 hours, it is necessary to urgently seek help from a urologist.

Where is conducted and what is the cost

Ultrasound of the scrotum and, if necessary, the penis is held in diagnostic centers or multidisciplinary research laboratories. To clarify the existence of such procedures in the near center by phone.

The cost of the US, in addition to equipment and services of a professional, the price includes the input stimulant. On average, the price will be about 1500-2500rubley.

expert evidence

Shulgin, Evgeny, urologist

"Ultrasound of the penis is not as familiar as a survey, for example, the kidneys in the same manner. Many patients under various pretexts, trying to avoid the appointment.

This stems from the discomfort, fear and especially the mentality, not allowing coolly treat medical procedures.

However, such testing provides a complete analysis of what is happening in the vascular tissues of the body to determine the development of the pathology in the early stages and to appoint competent treatment. Moreover, the US carried out by professionals, so nothing to worry about. "

A safe, painless and effective way to study is one of the best options for diagnosing 'male' diseases. Therefore, it is better to pass ultrasound immediately, as soon appoint a physician. This will enable an early start to fix the problem.

A source: https://AnnaHelp.ru/urology/uzi-polovogo-chlena.html