After careful examination and identification of possible causes of Erectile Dysfunction patients have to undergo several diagnostic tests that will confirm or deny the organic nature of impotence and to determine the mechanism of defeat.
A very important diagnostic phase - assessment of nocturnal erections, which was previously used for a special ring of postage stamps. It is placed on the penis and an erection during the night vomiting. Now replace the vintage ring came more complex and highly sensitive technique. The device records information about the number of nocturnal erections and registers the degree of rigidity (strength) of the penis in the time it occurs. The presence of nocturnal erections lasting for 10 minutes, with a degree of rigidity not less than 60% indicates normal erectile function.
If erection problems is necessary to determine the cause. Stresses, problems at work, family concerns and depression comprise the group of psychological disorders that lead to the problems with the male health. The first occurrence of erectile dysfunction may be related to insufficient arterial blood inflow to the penis, or the excessive outflow of venous blood (venous shunt).
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To determine exactly which of these two states is the main cause of disease, doctors use the method of Doppler blood vessels of the penis (estimate of the rate of blood flow). This method of research is carried out in a state of artificial (drug)-induced erection. The main indicators detectable study are systolic / diastolic flow velocity and resistance index.
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In identifying violations for further diagnosis and plan further treatment may also be dynamically kavernozometriya infusion. To perform this study, the cavernous body (corpus cavernosum - the structural units of the erectile tissue of the penis) a dotted line with two needles. Through one of these needles in the cavernous body of pressure injected with saline, the second needle is connected to a special pressure sensor, which measures the speed of the input in the cavernous body of saline needed to develop an erection before and after pharmacological stress. Based on the data for a complete assessment of the state of the vessels penis.
If necessary, the more and cavernosography - X-ray of the penis, made after the introduction of the cavernous body of the radiopaque substance. This study is to evaluate the structure of the cavernous tissue of the penis and to detect leaks of venous blood.