The real origin of a Venous Leak

[Domino]

Dear People,

As the Venous Leakage isnt yet really examined, I thought it would be interesting to collect your opinions and insights about this disease.
As for what I know there are a few origins which are very clear why they are causing a Venous Leak

-Arterial Inflow Problems (Arteriosklerose), Injuries, Diabetes, Peyronie's disease, Psychogenic...

But there is another Group of People which are quite clueless where the Venous Leak is coming from...In most cases they failed Cavernosography, and are not reacting to PDE, SKAT and other Therapies.
They are either born with it or experience that their Erectionquality is suddenly getting worse without any particular reason.
In most cases there is no real therapy option for them. Vascular operations such as Ligations, Embolizations and Sclerotherapy have never worked for longterm, basically because they dont treat the real origin of the leakage, its a sympotmatic treatment. Its like building a dam, the pressure of the blood will sooner or later grow collaterals and this will result in the same Venous Leak ED as before.

So, what is then the real origin of the so called "Venous Leak"? First of all, the term is wrong. There are no leaking Veins inside the Penis.
In a healthy men, blood flows into the Penis causing the cavernous bodies to fill up with blood and expand. The pressure of the Cavernous body thereby pinches off the veins, which can not carry blood out of the pnis anymore. Basically a pretty simple procedure.

In my Opinion, Venous Leakage is caused somewhere between the Stadium of blood inflow and expanding of the Smooth Muscle pinching off the veins.
Because: in a healthy men, blood outflow is stopped after the cavernous bodies fill up with blood and expand.

In my theory the real problem lies within the Cavernous Bodies. I believe it could be caused by scar tissue inside the erectile chambers. This would cause that the penis developes more fibrose. Thereby the Cavernous bodies can not expand that good anymore and are not able to pinch off the veins.

What are your opinions on that topic? Have you experience with fibrose or scar tissue?
I´d be glad to hear something interesting from you guys!

Cheers!!

[dg_moore]

How to deal with your ED is far more important that what caused it.

[Anonymous2]

Hi As not had this but have read up on it to answer, I thought it was all down to a valve, and its stops working the way it should, that's why some guys can put there finger in the right place and can get erections, take your finger off and away it goes, your even find that there is a guy who puts bands in the right place and he gets an erection.

The valve lets blood in and not out, its when this valve start going both ways = a venous leak, but do feel free to check that out.

If as your saying with the cavernous bodies, you would still get erections but in a funny shape.

Good Luck

NOWHARD

[Domino]

Hi of course the treatment is the important factor about that topic. But i think its important to know wehere the problem lies, obviously noone really does. If someone would know, there would be "causal" treatments which not only adress the symptoms...
Valves are seen in venous malformations which occur in the leg...the veins in the penis shut down by pinching them off by the cavernosum. It happens mechanically.
In Cavernosography this is simulated, and thus proven if a leak exists or not.

Feel free to add your insights.

Greets

[Anonymous2]

Hi Dom, Think you should read this may help you and other's to really understand just where these valves are, there are valves in your legs but these are for your legs and not your penis.
http://www.google.com/patents/US20110066226

Sorry Dom, Forgot to add this link as well, this does back what I was saying about the leg valves you seem to think is the problem.
http://www.peaktestosterone.com/Venous_Leakage.aspx

Good Luck

NOWHARD

[Domino]

Dude, this is an atrificial stent that closes on demands, so they call it valve. This is just an theoretical treatment, and is more or less the same as if you would close the vein permanently. Just because someone is inventing a valve for the veins as a treatment, doesnt mean that the exist in a penis, or are neccessary for an erection...

What causes an erection to keep going is the increasing pressure of the tunica (as the CCs expand) against the veins which carry blood out; this almost seals them off.
Venous Leakage is not related to valves.

[Anonymous2]

Dude, this is an atrificial stent that closes on demands, so they call it valve. This is just an theoretical treatment, and is more or less the same as if you would close the vein permanently. Just because someone is inventing a valve for the veins as a treatment, doesnt mean that the exist in a penis, or are neccessary for an erection...

What causes an erection to keep going is the increasing pressure of the tunica (as the CCs expand) against the veins which carry blood out; this almost seals them off.
Venous Leakage is not related to valves.

Dom If that was how it goes then your theory does not work because guys do get erection, with what your saying they could not even get erections, perhaps a lazy lob or a half hard, but no further.
If you go to www.pegym.com and have a good read through there ED forum you should find a guy who was going to Vietnam to be operated on, I have read this somewhere I don't think it was on this forum, cant find it if it was, try reading and contacting him, for more info.

Good Luck

NOWHARD not Dude

[dtwarren1942]

According to Wikipedia:

Venous Leak is an inability to maintain an erection in the presence of sufficient arterial blood flow through the cavernosal arteries of the artery. The defect lies in the drainage of the cavernosal tissue of the penis, which under normal function provides high resistance to venous blood flow from the penis during an erection, thus keeping blood 'trapped' inside the spongy chambers of the penis, to maintain an erection of adequate strength for an adequate length of time. It is still disputed as to what causes the excessive 'leakiness' characteristic of the condition, however it is mostly thought that the defect is in the connective tissue of the tunica albuginea surrounding the penile veins, most importantly the Deep Dorsal Vein of the penis. Histological specimens of cavernosal tissue in patents with confirmed veno-occlusive disorder show changes in the structure of collagen and elastin making up the connective tissue of the penis, when compared to a control group. These changes may be responsible for such symtptoms.

Apparently, in my opinion, when the tunica looses its ability to put sufficient pressure on the veins leading out of the Penile chambers to prevent the "leakage" of blood out of the chambers an erection is lost. Could be a result of weakened tunica tissue or hardening of the vessel walls (plaque) due to cholesterol or excess blood sugar. The cure, therefor, would include procedures to repair the the tunica and or the veins leading out of the chambers. Perhaps an artificial valve in the affected area could accomplish this task.

A temporary solution can be accomplished by means of a tight constriction band (Osbon) to prevent outflow or the use of medication (pills or injections) to generate increased inflow of blood to off-set the outflow. I use both methods.

[rbrown]

I have venous leak. Pills help give me a good erection, but it does not last and goes soft. I have trued rings/bands, but there are issues--penis goes numb, etc. I disagree with one post--understanding the cause is essential to treating it!! In my case I do not know cause--could be arteriosclerosis, but I really don't know, neither does urol. I find injections work better, although I wear rings/bands when I inject until I get a good erection (about 10 minutes), then take them off. This seems to work. I WOULD like to know cause so eventually it could help with treating it...

[hypogonadal]

I am positive that my venous leak- diagnosed by Doppler Ultrasound was caused by very low testosterone levels since teenage years.

Restoring testosterone temporarily cured me venous leak and increased sensation dramatically.

I also believe that anxiety is a cause of venous leak. In the docs office, I couldn't get an erection with the injection until everybody left. I then had an erection for two hours that didn't subside.

Doc who is a urologist who specializes in sex disorders later reviewed my T results and changed his mind about the venous leak, even though that's what the doppler showed.

What I don't understand is why do drugs work for me sometimes, then other times not a chance in hell.

I believe venous leak is a condition of a condition, very rarely one by itself. Doppler tests are good but are not conclusive. More testing is required.

If one is young like I was when the problem started, I would really plead to you for your own sake to get your testosterone levels checked.