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How to Perform a Penile Duplex Doppler Ultrasound

Author: Brian P Dick, Rob Drury, Joseph Kim, Hosam Shalaby, Suresh Sikka, Wayne JG Hellstrom, Omer Raheem

Key Words: Penile duplex doppler ultrasound, Peyronie’s disease, Erectile dysfunction

This video covers how to perform a penile duplex doppler ultrasound (PDDU). A PDDU is performed as part of the normal work-up for erectile dysfunction (ED). It helps determine if a patient’s ED is due to arterial insufficiency, venous leakage, or a combination of the two. Additionally, PDDU can be used to assess Peyronie’s disease and provides in-depth information on plaque size and location, as well as the structural abnormalities in the corpora.

In this video, we demonstrate a step-by-step protocol and highlight take-home tips and tricks for PDU. This video serves as a resource for clinicians who are seeking to familiarize themselves with the methodology of performing a PDDU.

Acknowledgement: None

Disclosures: None


  1. Sikka SC, Hellstrom WJ, Brock G, Morales AM. Standardization of vascular assessment of erectile dysfunction: standard operating procedures for duplex ultrasound. J Sex Med. 2013 Jan;10(1):120-9. doi: 10.1111/j.1743-6109.2012.02825.x. Epub 2012 Sep 12. PMID: 22970798.

  2. Nascimento B, Miranda EP, Terrier JE, Carneiro F, Mulhall JP. A Critical Analysis of Methodology Pitfalls in Duplex Doppler Ultrasound in the Evaluation of Patients With Erectile Dysfunction: Technical and Interpretation Deficiencies. J Sex Med. 2020 Aug;17(8):1416-1422. doi: 10.1016/j.jsxm.2020.05.023. Epub 2020 Jul 3. PMID: 32631763