Erectile dysfunction - What Is Penile Venous Leakage?

Buy Lab Tests Online

madman

Super Moderator
* a normal erection is mediated by three factors, adequate arteries, adequate venous system and an adequate set of nerves

Venous leak - the inability to trap blood in the penis

2 clinical tip offs to the presence of venous leak

- I've had years of normal erectile function and now no matter what kind of stimulation I get I can't maintain an erection

- the erection is position dependant, that is when the man is standing up and gravity is working with him trapping some more blood in the penis he does a better job of maintaining the erection and as soon as he lies on his back the erection goes away



What Is Venous Leakage? Ask a sexpert! Dr. Greg Broderick answers this question in the latest installment of this video series.
Understanding Venous Leak: A Unique Cause of Erectile Dysfunction

By Greg Broderick, Urologist at Mayo Clinic Florida

Erectile dysfunction (ED) is a condition that many men are familiar with, often advertised during prime-time television. Commonly understood as the inability to initiate or maintain an erection, ED can stem from various underlying causes. While aging and arterial issues are frequently blamed, there's a less-discussed culprit that affects men across all age groups: venous leak.

The Mechanics of a Normal Erection​

To comprehend venous leak, it's essential to understand how a normal erection occurs. An erection is a complex process involving three critical components:

  1. Adequate Arterial Flow: Blood must flow freely into the penis through the arteries. Upon sexual stimulation—whether physical touch or mental arousal—the arteries dilate, increasing blood flow significantly.
  2. Efficient Venous System: To achieve and maintain rigidity, the veins must trap the incoming blood within the penis. This trapping isn't due to traditional mechanical valves but rather a network of smooth muscle fibers arranged like a honeycomb. These sinusoids fill with blood, trapping it and building pressure.
  3. Healthy Nerve Function: Nerves trigger the response to sexual stimulation, coordinating the vascular changes necessary for an erection.
veneous leak penis.png

What is Venous Leak?​

Venous leak, also known as venogenic erectile dysfunction, occurs when the veins fail to trap blood effectively within the penis. Even if arterial flow is sufficient, the inability to maintain blood within the penile tissue results in difficulty sustaining an erection.

Identifying Venous Leak​

Men with venous leak often present with specific symptoms:

  • Inability to Maintain an Erection: Despite adequate stimulation, the erection diminishes quickly. This is different from premature ejaculation, where the erection subsides after orgasm.
  • Position-Dependent Erections: Some men notice that erections are better when standing due to gravity aiding blood trapping but worsen when lying down.
Young men, sometimes even those just beginning their sexual lives, may experience venous leak. It's not exclusive to older adults and doesn't necessarily correlate with common risk factors like diabetes or hypertension.

Diagnosis​

A thorough evaluation by a healthcare professional is crucial. A Doppler ultrasound can assess blood flow within the penile arteries and veins, helping to distinguish between arterial insufficiency and venous leak.

Management Strategies​

Currently, there is no definitive cure for venous leak, but there are ways to manage the condition:

  • Medications: Phosphodiesterase type 5 inhibitors (PDE5 inhibitors) like Viagra®, Levitra®, and Cialis® can enhance arterial inflow. However, their effectiveness may be limited in cases of significant venous leak.
  • Penile Injections: For more severe cases, intracavernosal injections can directly induce an erection by increasing arterial inflow.
  • Constriction Rings: Using a constriction ring or elastic band at the base of the penis can help trap blood. It's imperative to use devices designed for this purpose to prevent injury. The band should be elastic and easily removable; metal rings or non-elastic materials pose significant risks, including tissue damage.

Important Precautions​

  • Safety First: Never use improvised devices like rubber bands or metal rings, as they can cause severe harm.
  • Consult a Professional: Always seek advice from a qualified healthcare provider before starting any treatment.

Looking Ahead​

Research continues into more effective treatments for venous leak. While management options are available, advancements in medical science may one day offer a cure.

About the Author

Greg Broderick is a seasoned urologist with over 25 years of experience at Mayo Clinic Florida. His expertise includes the diagnosis and treatment of erectile dysfunction, with a special interest in venous leak conditions.
 
Defy Medical TRT clinic doctor














 
Beyond Testosterone Book by Nelson Vergel


Professor Eric Allaire

What are the signs of venous leakage?


There are 4 signs:


* first one is absence or very weak erections in the morning

* the second sign is that during self- stimulation the hardness of the erection is not very high

* the third sign is that erections are not the same whether one is lying on his back or on his belly or on one side or being seated, if erections vary according to man's position, this is highly evocative of caverno-venous leakage


* the fourth sign is that when man applies fingers at the basis of penis erections are better, fingers press on veins and reduce leakages
 
Buy Lab Tests Online
Defy Medical TRT clinic

Sponsors

bodybuilder test discounted labs
cheap enclomiphene
TRT in UK Balance my hormones
Discounted Labs
Testosterone Doctor Near Me
Testosterone books nelson vergel
Register on ExcelMale.com
Trimix HCG Offer Excelmale
BUY HCG CIALIS

Online statistics

Members online
7
Guests online
7
Total visitors
14

Latest posts

Top