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I wonder if leakage of the blood that inflates the erection of a fully functioning (as far as erections are concerned) penis is exiting through veins (as the name "venous leakage" seems to suggest) or by some other route (perhaps the walls of the tunica albuginea).

This thinking is propelled by stories of attempts to treat erectile dysfunction (E.D.) by applying pressure to the veins that drain the corpus cavernosum in the tunica albuginea to block outflow. Many of these attempts fail for reasons I have never heard adequately explained. But some seem to succeed and the success of constriction bands seem to support the idea that it is venous drainage that is the culprit (and treatable). But the question still remains if trauma to the tunica is what prevents universal success of venous restriction treatments.

I am thinking of men who have had injuries to the tunica. Two scenarios come to mind. 1) an injury allowing outflow of erecting blood pressure through the walls of the tunica or 2) an injury that causes one's own body to limit the pressure allowed into the tunica.

Comments? Anyone know of research to this question?

It is too late for me (as I have an implant now) but young men thinking of jelquing or masturbating in ways that risk trauma to the tunica may benefit if my speculations are in any way correct.

The fact that tight tension bands prevent blood from exiting my pumped up election, indicates to me that blocking the veins is what is needed to prevent the loss of my erection.

dtwarren1942 wrote:The fact that tight tension bands prevent blood from exiting my pumped up election, indicates to me that blocking the veins is what is needed to prevent the loss of my erection.

The constriction ring constricts everything. (Aside: This is both irritating and inconvenient because it imposes a rather strict time limit on how long we could continue sex. )

But you are right in your thinking. But I am thinking that it is not definitive. However I know of no way (right now) to get a firm answer.

The process of an erection is truly a phenomenally amazing and complex undertaking. It is my understanding that there is always a slight "leakage" of blood from the penis during an erection but through a complex interaction of nerves, mental activity and chemical messengers the inflow of blood into the penis is greater than the outflow during an erection (basic hydraulics).

You can't stop the blood up completely in the penis which is what a ring does otherwise you risk injury due to oxygen deprivation and clotting. The penis needs a fresh supply of blood during erection as much as any other part of your body does. If you use a ring you will notice your penis become cold and discolored depending on the degree of constriction but a normal erection will remain warm and vibrant while all the things that control it are at play.

The trick is to precisely control the amount of outflow constriction which, absent any disease symptoms or injuries, is perfectly performed by the man's body and as long as the various control mechanisms are at play he will remain erect.

Venus leak is really a generalized topic that needs way more discussion and research to precisely define and treat. I believe that in my case I have something wrong with the control mechanisms but I'm not convinced that current medical knowledge is sufficient to adequately and safely treat it.

It seems to be a very vague and unknown territory of medicine. My uro didn't really know anything about it, when i asked. And he's supposedly a specialist in ED things...

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Thanks for the replies so far, everyone.

My thinking was that leakage out of the tunica walls (possibly from damage to my tunica when I was younger) was allowing pressure inside the tunica to drop, thus deflating my erection. Thus, "venous leakage" might be a less accurate description than "tunica leakage".