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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...