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Q: Testing for causes of erectile dysfunction
asked by: DoctorQuestion on August 23rd, 2009
I have seen numerous notable physicians in this area trying to diagnose the specific origin of ED. Unfortunately, it was ruled psychogenic in nature due to passing a Rigid Scan with "Flying Colors" per Dr. Arnold Melman. I tend to believe that there is also a physical aspect to it; that is Low T. Although i was in my early 20's my total T was 348 Nanogram der DCL, which is in the lower scale of 260-1200. In addition, i don't have any nocturnal emissions in years. Futhermore, despite using weights i didn't have much increase in muscle tone. No high blood pressure or diabeties.

I did see improvement on some meds as Remeron but i still feel a physical aspect hasen't been correctly identified. How accurate is the Rigid scan? Should I get a Dynamic Infusion Carvenosometry-Carvenosography done? It seems no one is willing to do it due to the rigid scan tests.


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Dr. Goce Aleksovski , MD
replied on August 27th, 2009
Erectile Dysfunction Answer A7148


A rigid scan is a pressure device that consists of a collector for data and two rings. The patient should put the rings in the upper and lower part of his penis. The scan will read the blood pressure of the patient during the night and the ring will contract or expand depending on the penis activity during the night. This helps the specialist to determine if the circulation in the penis is normal.


Dynamic infusion cavernosometry is a technique in which fluid is pumped into the penis at a known rate and pressure. It gives a measurement of the vascular pressure in the corpus cavernosum during an erection. The cavernosography is an adjunct to this procedure, where a contrast material is injected and then it is x-rayed to visualize any leakage.


Both tests are related to the circulation in the penis and the condition of the penile blood vessels. However, there might be other causes for erectile dysfunction which might be unrelated to circulation. Neurological problems might cause impotence if the nerves responsible for erection are damaged. A hormonal imbalance (especially low levels of testosterone) might be responsible for erectile dysfunction, too. In the end, psychological causes might include depression or anxiety.


You might want to visit a urologist to detect if and what physical issues might have caused the erectile dysfunction. Reference to a neurologist or endocrinologist might be needed depending on the suspected cause. If all physical causes are eliminated, then your condition might be caused by a psychological disorder, which might need help from a psychiatrist or psychotherapist.




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