Essential Questions About Penile Health and Diagnostic Tests

I would like to inquire about issues related to penile examination?

Hello Dr.
Hsu, I have a few questions to ask:
1.
Does Keelung Hospital offer tests such as "penile erection expansion test," "penile blood flow assessment," and "angiography"?
2.
If Keelung Hospital does not provide these testing services, could you recommend hospitals in Taipei that do? Are there any specialists you would recommend for erectile dysfunction?
3.
If the penis has developed small hard fibrous lumps due to trauma and it has been about 5 years, can treatment restore sexual function? Thank you for your answers.

Steven, 20~29 year old female. Ask Date: 2016/05/01

Dr. Xu Wencang reply Urology

You can go to the hospital for a physician to evaluate which tests need to be performed.

Reply Date: 2016/05/01

More Info

When it comes to penile health and diagnostic tests, there are several essential questions that arise, particularly regarding the availability of specific tests and the implications of past injuries on current sexual function.
1. Availability of Diagnostic Tests: The "penile erection test," "penile blood flow assessment," and "angiography" are specialized tests used to evaluate erectile dysfunction (ED) and other penile health issues. These tests help determine the underlying causes of ED, which can be vascular, neurological, or psychological in nature. If Keelung Hospital does not offer these tests, it is advisable to consult larger medical centers or hospitals in Taipei that specialize in urology or sexual medicine. Institutions such as National Taiwan University Hospital or Taipei Medical University Hospital are known for their comprehensive urological services and may provide these diagnostic tests. Additionally, seeking out a urologist with expertise in sexual dysfunction can be beneficial. They can guide you through the necessary evaluations and recommend appropriate treatment options.

2. Recommendations for Specialists: When looking for a specialist in sexual dysfunction, it is crucial to find a urologist who has experience in treating erectile dysfunction and related conditions. You may consider looking for professionals who are affiliated with reputable hospitals or those who have published research in the field of sexual medicine. Online platforms and medical directories can also provide patient reviews and ratings that may help in selecting a qualified physician.

3. Impact of Past Injuries on Sexual Function: Regarding the question of whether a small fibrous lump or plaque from a previous injury can affect sexual function after five years, the answer is nuanced. Penile trauma can lead to conditions such as Peyronie's disease, characterized by the formation of fibrous scar tissue that can cause curvature, pain, and difficulties with erections. If the fibrous tissue has stabilized and there are no significant changes in the past five years, treatment options may still be available. These can include medications, penile injections, vacuum erection devices, or even surgical interventions in more severe cases. The potential for recovery of sexual function largely depends on the extent of the injury, the presence of any ongoing symptoms, and the overall health of the individual.

In conclusion, addressing concerns about penile health and erectile dysfunction involves understanding the available diagnostic tests, seeking the right specialists, and considering the long-term effects of past injuries. It is essential to have open discussions with healthcare providers about symptoms, treatment options, and any concerns regarding sexual health. Regular follow-ups and evaluations can help in managing these conditions effectively, ensuring that individuals maintain their sexual health and overall well-being.

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