99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

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vincentmh
Posts: 6
Joined: Wed Dec 27, 2023 10:27 pm

99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby vincentmh » Fri Dec 29, 2023 9:51 pm

30 years old.

Not a single random boner for the last 2 years.

I have morning erections 2-3 times a week which are half erect penis that goes away within a minute i wake up. And really weak half erection at night from time to time.

The best erection i can achieve is mays 70-80% i have to go fast as fuck or i lose it (no deathgrip, i only masturbate with tips of fingers). most time my arm get so tired i stop and lose completely my erection in less than 15 seconds.

I started seeing a girl (first woman i have been with in 2-3 years). If we start foreplay i can get a weak erection that goes aways within 1-2 minutes. every time. and THIS IS NOT PERFORMANCE ANXIETY. i am not stress at all with or. i'm completely relax because i know i can make her come in other ways. (but no penetration still sucks)

(not in my head), i saw a real size shrinkage in the last 2-3 years. my penis is a little bit smaller than it was 5 years ago and my glans is often ''white'' like there was little bloodfloow.

My Dr. cant help but prescribing me viagra and cialis. Both didnt really help. Yes when i take it my erection is faster but i still lose it. my dick just CANT retain any blood...

I had 2 bloodwork 2 months apart this autumn. Everything is perfect. actually im at the best i have ever been in my life physically and mentally.

Its public medecine where i live (canada, quebec province). So he put me on an urology waiting list but it could take up to 2 years before seeing one.

So my only options is to resolve to private medecine. There are only to urology clinic in my city. one doesnt even mention ED in their website and the other one is 300$ for a first 15-20 minutes meeting. After that it all depends on what tests and protocols i have to do but it could easily racks up in thousands $$.. i dont have that money :(

I feel terrible these days.. i dont feel manly at all without penetration. no penetration for the rest of my life makes me feel completely depressed. (penile implant seems the last resort but it is absolutely scary and anyway im not covered. so i dont have freaking 20k $)

if anyone could help me a little, any advices are welcomed ! :(

wolfpacker
Posts: 1127
Joined: Thu Dec 12, 2013 10:16 pm

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby wolfpacker » Fri Dec 29, 2023 10:26 pm

Are you able to try injections?
Early 30s with ED for years from penis enlargement stretching and jelqing. Implant by Dr Eid on 24 June 2021 with a Titan 24cm with +1cm RTE on one side and -1cm cut off on the other side

My journal: viewtopic.php?t=17202

s7utty
Posts: 179
Joined: Thu May 19, 2022 6:09 am

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby s7utty » Fri Dec 29, 2023 11:30 pm

vincentmh wrote:30 years old.

Not a single random boner for the last 2 years.

I have morning erections 2-3 times a week which are half erect penis that goes away within a minute i wake up. And really weak half erection at night from time to time.

The best erection i can achieve is mays 70-80% i have to go fast as fuck or i lose it (no deathgrip, i only masturbate with tips of fingers). most time my arm get so tired i stop and lose completely my erection in less than 15 seconds.

I started seeing a girl (first woman i have been with in 2-3 years). If we start foreplay i can get a weak erection that goes aways within 1-2 minutes. every time. and THIS IS NOT PERFORMANCE ANXIETY. i am not stress at all with or. i'm completely relax because i know i can make her come in other ways. (but no penetration still sucks)

(not in my head), i saw a real size shrinkage in the last 2-3 years. my penis is a little bit smaller than it was 5 years ago and my glans is often ''white'' like there was little bloodfloow.

My Dr. cant help but prescribing me viagra and cialis. Both didnt really help. Yes when i take it my erection is faster but i still lose it. my dick just CANT retain any blood...

I had 2 bloodwork 2 months apart this autumn. Everything is perfect. actually im at the best i have ever been in my life physically and mentally.

Its public medecine where i live (canada, quebec province). So he put me on an urology waiting list but it could take up to 2 years before seeing one.

So my only options is to resolve to private medecine. There are only to urology clinic in my city. one doesnt even mention ED in their website and the other one is 300$ for a first 15-20 minutes meeting. After that it all depends on what tests and protocols i have to do but it could easily racks up in thousands $$.. i dont have that money :(

I feel terrible these days.. i dont feel manly at all without penetration. no penetration for the rest of my life makes me feel completely depressed. (penile implant seems the last resort but it is absolutely scary and anyway im not covered. so i dont have freaking 20k $)

if anyone could help me a little, any advices are welcomed ! :(


Bro je suis à Montréal, premièrement y’a pas de cavernosographie au Canada, deuxièmement il y a juste deux cliniques qui font des tests doppler : clinique marois et Steinberg. Marois est un vrai fdp incompétent, il m’a underdose et est venu 45 mins après l’injection, j’était moi et il m’a dit “tu as peut-être une fuite veineuse”. La clinique Steinberg est un peu mieux, mais dans tous les cas la patente est toujours la même ils vont dire que t’as une fuite veineuse …

vincentmh
Posts: 6
Joined: Wed Dec 27, 2023 10:27 pm

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby vincentmh » Sat Dec 30, 2023 9:52 am

salut ! je suis de québec en plus pas de montréal.. donc basically je fonce dans un mur et il n'y a aucune solution ? :S

j'aimerais voir un urologue a québec ce serait plus commode pour moi surtout si je dois le voir a quelques reprises.. je me tourne vers un urologue au privée même si j'ai pas les moyens parce que tout ce que mon médecin de famille peut faire c'est me prescrire du viagra ou cialis a 65$ pour 4 pillules GÉNÉRIQUE (un vol).

J'ai l'impression que la seule issue c'est l'implant et i guess que au québec c'est quasi-impossible ?

s7utty
Posts: 179
Joined: Thu May 19, 2022 6:09 am

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby s7utty » Sat Dec 30, 2023 11:41 am

vincentmh wrote:salut ! je suis de québec en plus pas de montréal.. donc basically je fonce dans un mur et il n'y a aucune solution ? :S

j'aimerais voir un urologue a québec ce serait plus commode pour moi surtout si je dois le voir a quelques reprises.. je me tourne vers un urologue au privée même si j'ai pas les moyens parce que tout ce que mon médecin de famille peut faire c'est me prescrire du viagra ou cialis a 65$ pour 4 pillules GÉNÉRIQUE (un vol).

J'ai l'impression que la seule issue c'est l'implant et i guess que au québec c'est quasi-impossible ?


Salut,

Malheureusement, on est fourrés ben raide au Qc en ce qui concerne la dysfonction érectile. Mais honnêtement les urologues ne servent pas à grand chose, à part prescrire des pillules/injections ou recommander le pshot et le shockwave (un gros scam touche pas à ça). Ne fais pas la même erreur que moi, j’ai dépensé plus de 10 000$ pour rien …

Je comprend que tes problèmes ont commencé il y a seulement 2 ans, est-ce qu’il y a eu un événement déclencheur ? Comment ça s’est passé exactement ? Est-ce que ça t’arrive d’avoir des érections complètes même si c’est de temps en temps ?

Ton problème n’est pas congénital donc je pense qu’il y a espoir, je te suggère d’essayer la dose journalière de cialis (5mg par jour) + des suppléments comme la L-arginine / L-Citruline.

Sinon, pour l’implant en effet il faut se mettre sur une longue waiting list ou le faire dans le privé … Perso tant qu’à dépenser 20k$ chez marois je préfère le faire chez un bon chirurgien en Turquie.
28 years old. some form of ED always with me entire life.
///
19th May 22' - doppler, 10mcg PGE1, good inflow, terrible outflow (EDV) of 15cm/s.
Currently about to visit Paris to dr Allaire seeking for further help.

vincentmh
Posts: 6
Joined: Wed Dec 27, 2023 10:27 pm

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby vincentmh » Sat Dec 30, 2023 4:31 pm

merci du retour, je t'ai répondu en privée !

Lost Sheep
Posts: 6162
Joined: Mon Jul 04, 2016 11:16 pm

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby Lost Sheep » Sat Dec 30, 2023 6:32 pm

vincentmh wrote:30 years old.

Not a single random boner for the last 2 years.

I have morning erections 2-3 times a week which are half erect penis that goes away within a minute i wake up. And really weak half erection at night from time to time.

The best erection i can achieve is mays 70-80% i have to go fast as fuck or i lose it (no deathgrip, i only masturbate with tips of fingers). most time my arm get so tired i stop and lose completely my erection in less than 15 seconds.
(edited for focus and brevity)

Your situation is similar to what I experienced for 35 years. I was diagnosed with venous leakage without definitive (doppler, etc) tests. Just the clinical presentation was enough. Pills worked for quite a while, but eventually an implant was suggested. I took 14 months to find a surgeon I would trust, though.

During that delay, I used a Vacuum Erection Device (VED) to maintain penile health and size. So, I recommend that. I found it unsatisfactory for sex (though it did work) and used it without constriction rings simply for its therapeutic effects. Medical-grade VEDs may be more convenient and durable than (cheaper) sex-shop devices, but any vacuum will do as long as you get a good seal around the base of the penis. A (pressure differential) vacuum is a vacuum and your penis will neither know nor care whose label is on the outside.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

GoodWood
Posts: 832
Joined: Sun Jun 16, 2019 1:07 pm

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby GoodWood » Sat Dec 30, 2023 7:27 pm

Your situation is good news and bad news.

The good news is that it doesn’t matter that you can’t get those tests, the treatment is exactly the same. There are a couple options and you need to figure out which option works best for you.

Pills
A VED with a constriction ring
Injections
Implant

Those are the current options for having an erection in the face of significant ED. It doesn’t matter what the test results say. Those are still the options. That is also the bad news. Those are the options.


Once you make peace with that fact you can get to work experimenting.
The first thing I would try is a bunch of different cock rings from a decent sex shop. Leather straps, metal rings, silicone rings. Ones that go over the shaft and behind the balls. Try a bunch of them and see if any help.

Try them with different combinations of pills. Daily cialis, daily cialis with viagra when you intend to have sex.

Get a VED and use it regularly to maintain (regain) size. Try a good one with a constriction ring and see if that works for you.

If none of that works then the next step is usually injections: monomix (prostaglandins), bimix (Phentolomine and Papaverine), Trimix (those previous three together), QuadMix (the previous three with atropine). They come in different strength/concentration and they aren’t all available in every country. Not sure about Canada. Others here will know.

Last stop is implant. Irreversible but fool-proof. The guys that have them seem to universally love them. You can be as hard as you want, whenever you want, for as long as you want.


So the good news is you have lots of options so take your time systematically exploring the options.

But the results of those tests will not change that those are the options.

There is a lot of knowledge here on FrankTalk. Let us know what you find and others will chime in to lend their experience as well.


The winning combination for me is daily cialis, occasional viagra on top of that. And injection plus a decent cockring for penetrating sex. That works well. Sounds complicated but it’s not. It works well.

Best of luck to you.
55yo, NYC. ED started at 40. 50 units BiMix + Atropine (Pap 30/Phen 6/Atr 0.2). Prostaglandins caused aching. Doses increasing. A cock ring helps. Phallosan Forte tension devise to maintain size. Eager to talk about implant experiences.

Txagq8
Posts: 885
Joined: Tue Oct 01, 2019 4:41 pm
Location: Texas Hill Country

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby Txagq8 » Sat Dec 30, 2023 11:39 pm

I agree with the previous poster.

A good doctor with a background in men’s sexual health issues is going to get more data from taking a detailed history than any labs or imaging could provide.

The various Doppler studies and pressure tests aren’t foolproof, either. The very first one I had done about 1986-87 they were about to declare me leak free until my wife (who was in the room) said “where he really loses his erection is when he moves” so they had me change position and voila’, instant flaccid.

My leaks were very position/movement dependent. Think of thrusting as opening and closing a flood gate. That’s what was going on.

Oral meds and cock rings are first line of defense, they’re reasonably priced, and a doctor will likely use them without elaborate diagnostic tests. Good luck with them/happy new year.
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.

Bambino09
Posts: 170
Joined: Fri Jul 28, 2023 5:30 pm

Re: 99% sure it's a venous leak/veins problem, but no money to get a cavernosography or ultrasound. what can i do ?

Postby Bambino09 » Sat Jan 06, 2024 2:13 pm

Como sigues? Que dijo tu doctor allaire, te has mejorado si no tienes fuga venosa? Que tratamiento estas haciendo?


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