Cavernous body ultrasound

The cavernous body ultrasound, also called penisonography, is an imaging procedure used to assess the structure and blood flow of the cavernous bodies of the penis. This examination is often used to diagnose causes of erectile dysfunction or other penile diseases. It allows for a detailed depiction of the tissue structures and vessels, enabling the detection of changes such as scarring, calcifications, or blood flow disorders.

When should a penile ultrasound be performed?

A corpus cavernosum ultrasound is particularly recommended in the following cases:

 

- Erectile Dysfunction: To clarify circulatory disorders or structural changes in the corpus cavernosum.

- Penile Curvature (Induratio penis plastica): To assess plaques and calcifications that can lead to penile curvature.

- Priapism: In cases of persistent, painful erections to identify thrombosis or other vascular changes.

- Penile Injuries: To diagnose tears or injuries of the corpus cavernosum, for example, after trauma.

What should be considered before the penile ultrasound?

Before the examination, the following points should be considered:

  • Medication intake: Inform your doctor about current medications, especially blood thinners.
  • Allergies: Report any allergies to contrast agents or other substances if a contrast-enhanced ultrasound is planned.
  • Preparation: Generally, no special preparation is required; however, follow your doctor's instructions.

Conducting the erectile tissue ultrasound

The examination is carried out in several steps:

 

1. **Positioning:** The patient lies on their back; the penis is covered with a special gel to improve sound transmission.

2. **Basic Ultrasound:** First, the penis is examined in a non-erect state to assess the basic structure.

3. **Pharmacological Erection:** If necessary, a vasodilating medication is injected into the erectile tissue to induce an erection and assess blood flow under erection conditions.

4. **Doppler Sonography:** Using the Doppler technique, blood flow in the penile arteries and veins is measured to identify possible circulation disorders.

 

The examination is usually painless and takes about 30 minutes.

Debriefing and Consultation

After the ultrasound of the erectile tissue, the doctor will discuss the results with you and, if necessary, recommend further diagnostic steps or therapies. Depending on the findings, this may include the prescription of medication, physiotherapeutic measures, or, in certain cases, surgical interventions. An accurate diagnosis is crucial for selecting the appropriate therapy to improve sexual health and quality of life. 

To address, for example, erectile dysfunction, we recommend discussing with your doctor the possibility of shockwave therapy for erectile problems - ESWT

Costs of the penile ultrasound.

The penile ultrasound, also known as Doppler sonography of the penis, costs 150.00 euros. This price includes the following services:

  • Preparatory consultation: Collection of medical history and discussion of existing complaints, particularly in connection with erectile dysfunction.
  • Conducting the ultrasound examination: After injection of a vasodilator medication into the erectile tissue, Doppler sonography is used to examine the blood flow in the penis to identify arterial or venous causes of erectile dysfunction.
  • Analysis and interpretation of the results: Evaluation of the measurement data to assess blood flow velocity and identify possible vascular changes.
  • Final consultation: Explanation of the findings and planning of further diagnostic or therapeutic steps based on the examination results.

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