Dr. Ankush Jairath
Urology
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Patient's Query
Hello doctor,
I have ED and I have taken penile doppler test as per my urologist advice. But he did not confirm any physical problem with me but the doppler test result says there is artery insufficiency. Below is the impression from the doppler test. Hypoplastic right cavernosal artery with penile erectile dysfunction. Please help me understand this report.
Hi,
Welcome to icliniq.com.
Coming back to your query, I had seen your doppler report (attachment removed to protect patient identity). Your peak systolic velocity on right side is below normal. Have you tried any drugs / medicines before? For how long you are having ED? Diabetic or hypertensive? Morning or nocturnal erections?
Patient's Query
Thank you doctor,
I am taking Nano Leo and Alfil 5 mg on and off. I do not have any other complaints other than ED and I have been having this for the past 2 years. Is it possible to rectify this issue. I am worried sick because I am married now.
Hi,
Welcome back to icliniq.com.
We will go step by step. I recommend you to start or continue tablet Tadalafil (Tazzle) 5 mg at 8pm daily for two weeks. In case of suboptimal response after six days of above tablet add tablet Sildenafil 100 mg on day seven and day 10 and day 13, two hours before intercourse. Side effect : there can be priapism (painful prolonged erection) which can occur in very small subset of patients. If above tablets does not work then we will get back after two weeks for the next step in management.
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Urology
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