Treatment of ED impotence due to venous leakage

madman

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Conclusion

Erectile dysfunction is defined as the inability to attain or maintain a penile erection
of sufficient quality to allow satisfactory sexual performance. The prevalence of this
condition increases with age
.

There are many causes of erectile dysfunction including organic, psychogenic, and
combined causes
. It is essential to identification organic causes because they are

potentially treatable.

Erectile dysfunction is now being recognized as one of the earliest manifestations of

endothelial dysfunction and peripheral vascular disease.

Stimulated CDUS of cavernosal arteries is the initial imaging technique of election to

assess ED from a vascular origin. A PSV> 30 cm/s and an RI higher than 0.8 are generally considered normal. An EDV >5cm/s is suggestive of venous leak.

Transcatheter venous embolization for Veno-occlusive dysfunction in ED is a safe and
effective therapeutic option
. The minimally invasive nature of the procedure enabled us
to perform the procedure in an out-patient setting with low costs. The ability to occlude

even tiny venous collaterals that can be overlooked during surgical ligation makes this
procedure superior to surgical treatment.
 
Look for urologist who treats a lot of ED,or has done clinical research in the field specifically inquire if they do penile doppler ultrasound. Big names-Tom Lue, San Francisco, Irwin Goldstein, San Diego.
 

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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