Genital Exam and doppler?

I have a random question that I have thought about a couple of times. I have thought it would be an interesting part of a play exam to have a doppler done on the penis during a genital exam. I remember some time ago a link was posted from a BBC program showing an ultrasound of a couple having sex as a part of a clinical study on sex where a penile pulse was found during the ultrasound/doppler. Clearly a doppler can be used to find an arterial pulse in the penis, but does a doppler used in this fashion provide any real clinical findings or value in a real life physical exam of a patient? Also, do play docs here on fetlife with their male patients feel for a penile pulse during erection? Both procedures would be great in a play exam in my opinion.

I often like to feel the penile pulse, but I'm not sure it has actual medical value. Not sure a doppler would help.

I think that´s the key, besides the real medical value of any proceadure the importance is the effect that proceadure has in the medical play

The only real clinical value Ican think of is if you were looking for atherosclerosis or other cause of poor arterial flow as part of an erectile dysfunction examination

Twice a year I have an ultra sound of my abdomen to check on my stent in my aorta, then one down my left leg to check on a chip behind my popliteal space behind my left knee. They generally do an ultra sound down my left leg and foot, as well. The lady who does this used to work at an OB-GYN clinic doing intra-vaginal ultrasounds all day, but was bored by the same old thing all day. That's why she left the OB-GYN clinic and got a job working for a vascular surgeon, for more variety. She has also done ultra sounds on my neck blood vessels and my entire thorax. She has also checked my femoral artery in my abdomen and groin right next to my genitals. She is very kind, friendly and good looking. I love seeing her.

I can't imagine performing a Doppler on a penis. The vessel is so small it would be very difficult to hear. Also what would be the point? Unless the penis is completely blanched or gangrenous it would have a pulse.

Speaking of gangrene though, I did once see a case of penile gangrene. The patient had injected cocaine into the dorsal vein in an effort to get a super erection. It infiltrated. He came in with a black penis. It was amputated but the gangrene had spread into the pelvis. He died. Unpleasantly.

Speaking of other extracurricular idiocy I also saw a woman who injected methamphetamine into her femoral artery by mistake. She had been hitting the vein but on repeat injection she missed. The flash she got terrified her when she hit big red. She developed a clot which embolized distally. Emergency endarterectomy. You can imagine how thrilled the vascular surgeon was.

I'm a bit surprised that there is enough blood flow through an erect penis to be picked up by an ultrasound. But I have always been curious if the rapid surge of semen during ejaculation could be detected by ultrasound.

I'm a bit surprised that there is enough blood flow through an erect penis to be picked up by an ultrasound.

A penile duplex doppler ultrasound is used very commonly in the diagnosis of erectile dysfunction. It specifically can examine arterial blood flow as well as determine if their is a venous leak. It can also asses the nature of plaque and scar tissue in the penis in men with suspected peyronie's disease.