Pharmacological Penile Doppler Ultrasound Procedure for Erectile Dysfunction

Pre-Procedure Preparation

• The American Urological Association recommends counseling patients about the test procedure, potential adverse events, and the need for dose titration before performing the diagnostic study 1, 2
• Patients with active bleeding disorders, those on anticoagulation therapy, or history of priapism should be excluded from the procedure 1, 2

Medication Preparation

• The American Urological Association recommends using intracavernosal alprostadil (prostaglandin E1), which is the only FDA-approved agent for intracavernosal injection in the U.S. 1, 2
• Alternative agents include papaverine, phentolamine, or atropine in combination, though these are typically not used as single agents 1, 2

Common Pitfalls to Avoid

• The American Urological Association recommends avoiding the performance of the test in patients with untreated urinary tract infections, systemic infections, or cutaneous infections 1, 2
• Monitor for prolonged erection or priapism, which are potential adverse events requiring immediate intervention 1, 2