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NeedleD wrote:

nick.young1888 wrote:Oh and NeedleD what was your cause of venous leakage? Did you get it at a young age? Under 50?

In my late 50's. Venous leak started about 3 years ago, Doc didn't indicate a cause just said "blood is going out faster than it's coming in".

oh okay so yours makes sense because I guess medically speaking you were in the age range of when organic causes of ED can occur. I am still in my 20's and have no idea what is going on with my penis honestly and these doctors are pissing me off with their incompetence and ignorance.

It is so frustrating when you know there is an issue, but a doctor brushes it aside as if there isn’t a problem.

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?

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.

When confronted by medical moronacy I find it helps to remember that it wasn't all that long ago that doctors killed more patients than they cured.

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?

what part of the penis is the tunica albuginea? and what are your symptoms that make you think this?

i myself also hate the "its most likely psychological" diagnosis before any testing but i literally have talked to 20 doctors who all listen to my symptoms and then they say the same thing about it being psychogenic so i kinda feel relieved that it seems to be a unanimous agreement that i dont have a physical problem.

do the men in this forum with a venous leak have an erection after they ejaculate? after i ejaculate whether it be through masturbation or sex i still have an erection that doesnt go down (or goes down super slowly) or like a minute or 2. if it was a venous leak the blood would not be trapped in there correct?

i noticed change in my erection after i got diagnosed and starting curing my phimosis (tight foreskin) so either the tightness of the foreskin caused internal penile damage or the diagnosis of my tight foreskin caused psychological issues between me brain and my penis (i was really sad and self concious after i found out i lived my whole life not knowing/being able to retract my foreskin). the only thing with the psychogenic argument is that my mornng erections are irregular now which some doctors told me could also be caused by psychological factors but idk.

Txagq8 wrote:

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.

a major indicator all of my doctors seem to tell me that this is psychological and not physical is the sudden onset. they told me that if this was physical id notice the change gradually and not overnight which is what happened. also, they each go down a list of possible diseases/conditions i may have that is closely tied to ED and when I answer "no" to all of them they say the chance of this being physical is even lower. Finally, since i'm 27 years old that seems to be the biggest indicator to them that this isn't organic. None of them suggest a doppler test since they say it is too invasive and since they are reassured that this isnt physical that they wouldnt order it for me. There was only one doctor who suggessted i take the doppler test but they said only so it will reassure me and help me with my peace of mind that this is mental and not physical. he said he wouldnt order for me though since it isnt necessary but he said if i want to pay for it with my own money to help my peace of mind that i should do it.

question for everybody.

for somebody with a venous leak would their erectile/pelvic muscles be weak.

I notice the problem for me seems that my pelvic area and penis just feels weak. I can't flex my penis or make it stand up like I used to.

WARNING: The following is from a porn site but it is the only video i could find to show what i am talking about. Nothing too graphic. Just a video of a dude flexing his erect penis.
https://www.pornhub.com/view_video.php? ... 5f5b9722aa

Being able to make your penis jerk up as in the video is from your pelvic muscles. Cna you do kegels and make this happen? You should be doing a lot of these for penile health.

nick.young1888 wrote:question for everybody.

for somebody with a venous leak would their erectile/pelvic muscles be weak.

I notice the problem for me seems that my pelvic area and penis just feels weak. I can't flex my penis or make it stand up like I used to.

WARNING: The following is from a porn site but it is the only video i could find to show what i am talking about. Nothing too graphic. Just a video of a dude flexing his erect penis.
https://www.pornhub.com/view_video.php? ... 5f5b9722aa

Yes, vajim1's suggestion of exercising your pelvic muscles is one that should be followed. It CAN NOT hurt anything and likely will help, not only what you described, but will make your orgasms more intense/pleasurable as well.

Caveat: My indication that exercise can not hurt anything is based on the fact that if you over-tire muscles, they simply quit on you until you rest them. It's not like lifting weights where you can tear tissues, etc.