Normal penile Doppler study

- Baseline Cavernosal Artery Measurement: 0.4 mm

- Post-Papaverine Cavernosal Artery Measurement:1.1 mm

- Color Doppler PSV (Peak Systolic Velocity): Increased from 10 cm/s to 30 cm/s over 20 minutes

- Diastolic Flow: Increased from 0 to 10 cm/s before returning to 0

- Left Cavernosal Artery PSV: Slightly lower at 25 cm/s compared to the right side

Penile Doppler ultrasound images:

Before papaverine  injection:

After papaverine injection:

After some time:

After some more time:

*Interpretation:

- The increase in cavernosal artery diameter post-papaverine suggests a normal response, facilitating improved blood flow.

- Color Doppler results indicate a healthy increase in PSV, reflecting improved arterial blood flow during the assessment.

*Left vs. Right Cavernosal Artery PSV:

- The marginal difference in PSV between the left and right cavernosal arteries may not be clinically significant, but it's worth noting.

*Prognosis:

- The overall findings, including increased PSV and diastolic flow, suggest a normal penile Doppler ultrasound, indicating good vascular responsiveness.

*Management:

- Given the normal findings, addressing potential psychological factors and lifestyle modifications could be explored for comprehensive management.

- Consultation with a urologist may be beneficial for a more detailed assessment and to discuss potential treatment options for erectile dysfunction.

Note: specific patient cases should be discussed with healthcare professionals for accurate diagnosis and management.