Lost Sheep wrote:I wonder if "venous leak" may be a misnomer for some men (me in particular). I have begun to suspect that leakage, not out the veins, but actually out the sides of the tunica albuginea could produce the same effect as true venous leakage. I did not see any pooling of escaping blood, so I may be wrong, but could thinning/kinking/rupture of the tunica walls cause E.D. by leakage out of the corpus cavernosum?
Sure, it can escape out the sides of the tunica without pooling or a bruise. It would depend a lot on location and volume. It’s possible that any blood leaking out from a prior injury has found a new route back to the bloodstream and continues via a pretty extensive network of veins. You ever look at a map of the major arteries and veins in a penis along with their tributaries and what they’re hooked to? It’s a wonder we all don’t have vascular problems causing ED.
A quick comment. It’s possible what a lot of guys in their 50s/ 60s are calling venous leakage is really arterial insufficiency. That doesn’t mean their heart isn’t working right necessarily but it is NORMAL for cardiac output to decrease somewhat with age as well as the arteries to stiffen/become less elastic thus capable of carrying as much blood. There are reasons champion marathon runners are usually in their 20s or early 30s instead of 65 or 70.
Had a long discussion with surgeon on tap to do my implant. If you have ED in your teens, 20s, 30s.......a venous leak should be suspected in the Absence of any injury. A lot of ED is first recognized in the 30s and 40s that is due to venous leakage because the leak isn’t as big, and the arteries had been able to overcome a small amount of leakage.
Big scheme is it doesn’t matter. Guys with ED at any age should NEVER be told that it is probably psychogenic until diagnostic tests rule out physical causes. The doctors that do that (“oh, it’s all in your head. Have a drink beforehand”) are fewer in number but one is too many.
Quick story: I was a Lieutenant in the Army at Fort Polk LA when I got diagnosed. By Doppler. At a civilian Urologit’s office in Lake Charles. That I had to pay for out of pocket since he wasn’t an Army doc. Put me on bi mix, all there was late 80s.
The Army moves you, and getting a bi mix refill at Fort Eustis or Fort Leavenworth or Fort Sill becomes an issue without a new scrip. So you have to find a new doc. Even with all the notes, radiology and Doppler and lab reports.....I still ran across guys who told me it was psychological or that I ought to get a cock ring. (I used one WITH the bi mix)
So when you run across doctors who refuse or are reluctant to actually be aggressive in looking for info to give you a diagnosis, be polite, but say something like:”ok, I guess we are done here, can you give me contact info for a board certified urologist who actually knows something about male impotence and might be willing and able to do something constructive to help me, besides taking my money and telling me it’s in my head”
35 years ago the standard response to a 30 year old impotent male was “it’s all in your head”. That answer was wrong over 80% of the time.
Age 68. Physically fit educated red neck in Texas. Very married. 23 cm (18+5) of LGX installed by Dr. Bryan Kansas 12/31/2019. I fought the ED and my wife & I won. I’m either full of shit or sound advice. You decide which.
