Here's what proper diagnostic testing involves:
1. Duplex ultrasound - measures blood flow identifying abnormal venous drainage precisely
2. Dynamic infusion cavernosometry - gold standard test directly quantifying leakage severity
3. Cavernosography - visually maps specific leaking veins essential for surgical planning
4. Hormonal assessment - testosterone cortisol and DHEA levels evaluated comprehensively
5. Subspecialty andrologist - experienced specialist interpreting all results accurately
6. Complete clinical picture - every treatment decision based on confirmed diagnostic evidence
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