A serious warning for young healthy males (FALSE VENOUS LEAKS)

[s7utty]

I am a friend of s7utty who was kind enough to lend me his account as it is impossible for me to create a new one.

I'm writing this post because I'm very concerned about the way erectile dysfunction is being managed and discussed with young and healthy males. I see that many young individuals, with mild to moderate dysfunction, are diagnosed with "venous leaks" by Doppler examination. “Venous leak” is a very serious diagnosis that have a huge impact on these poor young people, most of whom have a dominant psychogenic cause for their ED.

In addition to numerous studies demonstrating the inaccuracy of Doppler tests, a recent study on a group of 302 young men with confirmed “venous leak” diagnosed by doppler ultrasound, showed that over 98% of them had no leakage after either repeating the Doppler test 3 times or undergoing sex therapy and repeating the Doppler test 2 times. The reason for these false diagnoses is that anxiety prevents the complete relaxation of the smooth muscle, which causes incomplete erection and thus non-functioning of the veno-occlusive mechanism, mimicking a venous leak on Doppler examination.

However, for 98% of the subjects studied, when anxiety is reduced (by repeating the doppler multiple times and with psychosexual therapy), and the smooth muscle relaxes completely, a full erection is achieved and the Doppler no longer shows a venous leak, hence the reason why some “venous leakers” have inconsistent erections (i.e. they can be very good sometimes, sometimes not).

https://pubmed.ncbi.nlm.nih.gov/29155195/

I am very disappointed to see the ignorance on this site regarding psychogenic erectile dysfunction. When we talk about a psychological cause, we're not just talking about "not being in the moment", it’s not only in the head, anxiety does have an organic and chemical impact on the relaxation of the smooth muscle of the penis. This is also demonstrated in the following study :

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837321/

So PLEASE, young people, if you're healthy and have inconsistent erections, please don't listen to the incompetent urologists who give you this dubious and simplistic diagnosis called "venous leak". Get a second and a third opinion. Don’t listen to the eldery on this forum who push implants as magic solution. Ask yourself the following questions : was I fully hard during the doppler exam ? Was the erection during the exam at least equivalent to the one I get home ? If the answer is no, then the exam is garbage, just google “false venous leak” and read the studies. If you can get and maintain a complete erection under some circonstances, you don’t have a fkn hole in your penis. You should work on anxiety management in order to to optimize the functioning of oral treatments (because yes, your psychogenic ED can counter the effect of the strongest dose of viagra, as you can see in the first study that I linked).

Peace.

[Bambino09]

had priapism when they gave me the injection. Do you think it is an indicator that there is no leak?

[Never_Enough]

had priapism when they gave me the injection. Do you think it is an indicator that there is no leak?

Yes.

[wolfpacker]

Obviously the results of a Doppler test should not be the reason you get an implant. It should be because you tried everything, have a healthy lifestyle, good lab results, tried all pills and nothing works to get satisfactory erections. The Doppler is just something doctors do for insurance purposes.

[Norrr813]

Even though i wasn’t fully erect during the test it can’t be anxiety. I have problems masterbating also and my erections are position dependent. I have noticed something about my self recently though. I noticed if my penis isn’t super hard it’ll go soft and I now know that your penis needs to be hard to close off the veins that let blood out the penis. Hence why cialis works for me every now and then. So maybe I’m not getting enough blood in the penis for an erection vs losing too much blood trying to keep an erection.

[jl33ur]

I am a friend of s7utty who was kind enough to lend me his account as it is impossible for me to create a new one.

I'm writing this post because I'm very concerned about the way erectile dysfunction is being managed and discussed with young and healthy males. I see that many young individuals, with mild to moderate dysfunction, are diagnosed with "venous leaks" by Doppler examination. “Venous leak” is a very serious diagnosis that have a huge impact on these poor young people, most of whom have a dominant psychogenic cause for their ED.

In addition to numerous studies demonstrating the inaccuracy of Doppler tests, a recent study on a group of 302 young men with confirmed “venous leak” diagnosed by doppler ultrasound, showed that over 98% of them had no leakage after either repeating the Doppler test 3 times or undergoing sex therapy and repeating the Doppler test 2 times. The reason for these false diagnoses is that anxiety prevents the complete relaxation of the smooth muscle, which causes incomplete erection and thus non-functioning of the veno-occlusive mechanism, mimicking a venous leak on Doppler examination.

However, for 98% of the subjects studied, when anxiety is reduced (by repeating the doppler multiple times and with psychosexual therapy), and the smooth muscle relaxes completely, a full erection is achieved and the Doppler no longer shows a venous leak, hence the reason why some “venous leakers” have inconsistent erections (i.e. they can be very good sometimes, sometimes not).

https://pubmed.ncbi.nlm.nih.gov/29155195/

I am very disappointed to see the ignorance on this site regarding psychogenic erectile dysfunction. When we talk about a psychological cause, we're not just talking about "not being in the moment", it’s not only in the head, anxiety does have an organic and chemical impact on the relaxation of the smooth muscle of the penis. This is also demonstrated in the following study :

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837321/

So PLEASE, young people, if you're healthy and have inconsistent erections, please don't listen to the incompetent urologists who give you this dubious and simplistic diagnosis called "venous leak". Get a second and a third opinion. Don’t listen to the eldery on this forum who push implants as magic solution. Ask yourself the following questions : was I fully hard during the doppler exam ? Was the erection during the exam at least equivalent to the one I get home ? If the answer is no, then the exam is garbage, just google “false venous leak” and read the studies. If you can get and maintain a complete erection under some circonstances, you don’t have a fkn hole in your penis. You should work on anxiety management in order to to optimize the functioning of oral treatments (because yes, your psychogenic ED can counter the effect of the strongest dose of viagra, as you can see in the first study that I linked).

Peace.

What if the erection is the same being alone and calm as being with a girl or in the ultrasound doppler? In my case the erection is always the same, it is achieved with stimulation but it is lost very easily (less than 30 seconds)... it is only maintained with stimulation, they did a rigid scan and it shows that I have erections at night, not during the day... No drug works for me, not even caverject or trimix. The doctors keep telling me it's psychological. I differ.