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I had this test done well over ten years ago, and they found poor arterial flow, as opposed to venous flow. One thing that was funny at the time was after the tech injected me, he handed me a men's magazine to help achieve an erection. I basically told him I was waaaaayyy past looking at men's magazines but he was just doing his job. The results led to my use of Trimix which has always done the job of achieving a very good erection. Unfortunately, I had a radical prostatectomy three years ago which was supposed to spare the nerves that produce erections, but that aspect failed. Now, Trimix still leads to an erection, but without those nerves adding some arousal blood flow, it just isn't the same. Climaxes are very, very challenging.
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@tomf Your experience brought a smile. AND kind of made me wonder if I should have stayed quiet and kept my eyes closed and perhaps just more relaxed during the process. I felt like Curious George goes ot the urologist and wanted to watch the ultra sound screen as he was taking his measurements, etc. Mental distraction from what is just a usually happy feeling with an erection that may have worked against the biomechanics of incoming arterial flow. (Though perhaps the chemical is such a strong override that what I'm thinking about has no impact?)
I'm heartened by your earlier experience with Trimix, though sorry to hear about current struggles.
I may just go for the shots when I next meet urlogist (actually his NP) in March. Part of me feels skiddish ... and another part says ... go for what you can while you have what you have.
(I've got PC, though 3+3 Gleason so pursuing active surveillance. BPH still an issue for me, after PAE this past July)