The role of ultrasonic pharmacodopplerography of the penile vessels in the selection of treatment for vascular erectile dysfunction

Aim – to determine the prevalence of vasculogenic erectile dysfunction in men of different age groups based on the results of ultrasound imaging of the penile vessels.

Material and methods. A retrospective analysis of the data of 167 men for the period from 2018-2025 was performed. Three groups were obtained: 1 – young age (18-44 years); 2 – middle age (45-59 years); 3 – elderly age (60-74 years). Patients underwent USDG of the penile vessels with the introduction of the drug Caverject.

Results. In the first group, the analysis showed no echographic pathology in 69 cases, and in 8 cases, pathological venous drainage was diagnosed. This indicates the prevalence of non-organic causes, such as hormonal, neurogenic, and psychogenic disorders. In the second group, 30 patients did not show any echographic changes, 19 patients had reduced arterial blood flow of various origins, 4 patients had pathological venous drainage, and 7 patients had a combination of reduced arterial blood flow and pathological venous drainage. The remaining 11 patients had various combinations of reduced arterial blood flow and pathological venous reflux. For patients in the third age group, with ultrasound indicators of blood flow in the first two types of erectile dysfunction in the stage of arterial insufficiency compensation and a scattered type of pathological venous reflux, conservative medical treatment is recommended, possibly in combination with surgical treatment.

Conclusion. Analysis of the nature, severity, and duration of pharmacological erections, as well as the parameters recorded by Doppler ultrasonography, allows not only to identify vascular disorders, but also to differentiate between non-organic and organic ED, as well as to distinguish between arterial blood flow deficiency and pathological venous outflow.