Evaluation on Sexual Dysfunction:
It is a bitter experience for a man when he has difficulty having or maintaining an erection. This would adversely affect a healthy sex life and could potentially damage a good love relationship with a partner. This physical problem, in fact, is mainly due to insufficient blood flow to the penis.
We provide an evaluation for patients so that they will understand their own problems clearly before receiving further treatment. After the evaluation is done, a registered doctor will immediately analyze the situation and provide opinions on the choice of treatments.
►Doppler ultrasound to evaluate penile blood flow
►Bio-thesiometer to assess penile sensitivity
To evaluate the cause of insufficient rigidity/ED, doctor will take a complete medical history and lifestyle of the patient. After consultation, two tests will be conducted: The first one being the biothesiometer, which tests the sensitivity of the penis, the second one being the duplex ultrasound, which tests the blood flow to the penis. It takes approximately 90 minutes for the whole assessment. Depends on the test results, an appropriate treatment will be suggested for the patient. You are always encouraged to come with your partner for the visit.
General questions such as your habits like smoking, alcohol use as well as specific questions about your sexual problems, your relationship with your partner, etc. will be asked during the visit. Please remember to bring a list of all medications you are currently taking, or show the medications to the doctor. Tell the doctor about any surgery you have ever had. A questionnaire needs to be filled in at the end. You will be consulted by a male health consultant and a male doctor.
For specific sexual questions, doctor might ask you the following:
Do you have confidence in achieving and maintaining an erection?
When you have erections, how often are your erections rigid enough for penetration?
How often can you maintain your erection after penetration?
Are you satisfied with your sexual performance?
How would you rate your level of sexual desire?
How often are you able to reach climax and have an ejaculation?
Do you have morning erections?
The above answers will help the doctor understand your problem(s).
A thorough examination can help the doctor find the cause of your insufficient rigidity / ED. As part of the examination, the doctor will examine your testes and penis, take your blood pressure and check your reflexes. If necessary, a blood sample will be taken to test for diabetes, cholesterol level, and other conditions that may be associated with insufficient rigidity / ED.
Two diagnostic tests are then performed to assess the physical condition of the penile tissue:
This test evaluates sensitivity and nerve function in the glans and shaft of the penis with an electromagnetic vibration device. A decreased perception of vibration may indicate nerve damage in the pelvic area caused by any neurological deficit, such as neuropathy commonly seen in patients with diabetes, having had prostatic or other invasive pelvic surgery, all of which can lead to impotence. Alternatively, a hypersensitive sensation however may indicate uncontrollable / premature ejaculation.
A tendency of uncontrollable / premature ejaculation will result in insufficient rigidity / erectile dysfunction (ED), which is why a test for ED is needed.
The test is to evaluate blood flow of the penis and to predict the response to ED medications (e.g. vasodilators). It allows the doctor to determine if you have an inflow or outflow type insufficient rigidity / erectile dysfunction. Using a duplex ultrasonography device, the cavernosal arteries on both side of the penis are assessed by placing a probe with ultrasound transmission gel on the base of the penis. This test is not invasive and does not cause any pain. If the blood flow is not sufficient, it indicates an arterial inflow problem. The information will also tell if you have an out flow leak (venous leakage). Some patients may have a combination of inflow and outflow problems.
The most appropriate treatment will be prescribed by doctor based on the results.