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Erectile dysfunction (arteriogenic)

Case contributed by Dr Rupesh Namdev

Presentation

Erectile dysfunction for past 10 years, type II diabetes mellitus for 25 years, HbA1c value is 7.8

Patient Data

Age: 50 years
Gender: Male
Ultrasound

In this sildenafil citrate induced penile doppler, there is approximately 40-50% increase in cavernosal arterial diameter on either side which is less than the criteria of 60% increase expected in normal study. Also the peak systolic velocities of cavernosal artery doppler at 75 minutes past administration of oral 50 mg sildenafil citrate with visual stimulus is less than the accepted standard of 25 cm/s. This is a case of arteriogenic erectile dysfunction.

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