Penile Color Duplex-Doppler Ultrasound (PDU) is one of the most important tools available to assess patients with erectile dysfunction (ED), which is a prevalent condition affecting near 50% of men over 50 years of age. Hemodynamic evaluations through PDU have also prognostic value and help choose the best treatment strategy for ED.


Although PDU is an objective diagnostic method, the lack of standardized protocols is one of its main limitations and might lead to great variability in performing and interpreting penile hemodynamic studies in both clinical practice and scientific research. These factors have contributed to the fact that PDU is often considered unreliable, as it may lead to mistaken treatment protocols.


The aim of the present book is to provide a complete guide to performing an adequate hemodynamic study through PDU with pharmaco-induced erection. It will provide a detailed and illustrative overview of the most common pitfalls for a correct conduction ofthis diagnostic procedure. We will also provide an extensive review of the basic principles in erection physiology and pharmacology, allowing a broader understanding of the implications of PDU in clinical practice.


This book will appeal to radiologists and urologists. Its highly informative content will become the ultimate guide not only for fully trained physicians who want to optimize and standardize their procedures, but also for residents and trainees of these specialties. In addition, it will be a useful resource for sexual medicine practitioners, and may reach other specialties and/or healthcare areas such as primary care physicians, gynecologists, psychiatrists and psychologists.


Eduardo de Paula Miranda

Dr. Miranda has obtained his MD degree from the University Federal do Ceará in 2008 and has finished a residency training in Urology from 2010 to 2015 at the University of S o Paulo. In addition, he has completed his PhD in Urology at the University of S o Paulo in 2016. He completed a fellowship training in Sexual & Reproductive Medicine at Memorial Sloan Kettering Cancer Center (MSKCC) in 2017. Dr. Miranda is involved in numerous clinical and research activities in the field of Andrology, Sexual Medicine and Male Infertility. He is currently working as an attending urologist and associate professor at Centro Universitario Christus (UNICHRISTUS) in Fortaleza, Brazil.



Felipe Carneiro

Dr. Carneiro has obtained his MD degree from the University of S o Paulo in 2009 and completed a residency in Radiology at the same institution in 2014. Since then he has been devoted to the study and practice of penile Doppler ultrasound examination. He has obtained a PhD degree in 2018 after conducting a study about the importance of audiovisual sexual stimulation during penile Doppler evaluation. He also has international experience with clinical training at Memorial Sloan Kettering Cancer Center (MSKCC) in 2018. Dr. Carneiro has been involved in numerous activities in the field of Sexual Medicine, mainly performing penile hemodynamics in both research and clinical settings. He is currently working as an attending radiologist for the Radiology Department at the University of S o Paulo.