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A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction

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Purpose of Review

Herein, we seek to review the clinical applications of penile duplex Doppler ultrasound (PDDU) in sexual medicine practices and discuss the indications, protocols, advantages, and limitations of this diagnostic modality. Other more outdated diagnostic tests, such as cavernosometry, are briefly discussed to provide the reader a background of understanding on the evolution of diagnostic testing within the realm of sexual medicine.

Recent Findings

PDDU has become a key diagnostic tool in the clinical evaluation of both erectile dysfunction (ED) and Peyronie’s disease (PD). With the assistance of intracavernosal injections such as alprostadil, clinicians can utilize ultrasound technology to produce a detailed description of the hemodynamics of the patient’s erection cycle. This information plays a pivotal role in establishing an accurate diagnosis and creating a sensible management plan for the patient.


This review aims to provide a better understanding regarding the technique and interpretation of PDDU as it pertains to male sexual function.

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Correspondence to Jonathan Beilan.

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Conflict of Interest

KE and NZ have no conflicts of interest to report. JB is a paid consultant to Boston Scientific Corporation, menMD, In., and Bastion Health. The authors received no financial benefit from the planning, implementation, writing, peer review, editing, and publication of this scientific work.

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Elgendi, K., Zulia, N. & Beilan, J. A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction. Curr Urol Rep 24, 69–74 (2023).

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