Can venous leaks be treated?

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Way out west
Posts: 20
Joined: Tue Dec 31, 2019 9:58 am

Can venous leaks be treated?

Postby Way out west » Fri Feb 28, 2020 1:08 am

I need to get a diagnosis carried out, which given where I live, is easier said than done, but I do seem to have signs that point towards a venous leak. I was wondering whether it's something that can be treated and if so, how...

oatmealkid
Posts: 43
Joined: Tue Dec 17, 2019 12:42 am

Re: Can venous leaks be treated?

Postby oatmealkid » Fri Feb 28, 2020 3:33 am

Depends on the cause of the leak.
A normally healthy person can put a tourniquet on the arm, place a finger on a swollen vein, push AWAY from the heart, and when the finger is removed the vein stays flat.
Veins have one-way valves that cause this.
In my late 30s I lost this ability, meaning my heart has to work harder to pump blood, causing heart disease. This is similar to venous leak but there is no treatment for the condition.
Diagnosis to determine the cause would be expensive and might reveal a condition like mine that can't be treated. Doing so might be considered risking harm to the patient, which ethical doctors won't do.
Unless the leak is easily repairable it shouldn't be attempted, and expensive procedures to diagnose a possibly untreatable condition would likely seem unethical to a doctor (I would avoid any doctor it didn't seem so to).
70yo m Fla. Severe ED due to type2 diabetes.

Flavio
Posts: 265
Joined: Wed May 19, 2010 4:56 am

Re: Can venous leaks be treated?

Postby Flavio » Fri Feb 28, 2020 5:14 am

oatmealkid wrote:Depends on the cause of the leak.
[...]


I had never heard of venous leaks before and it seems that this condition is a big mystery. Causes and treatments are still largely unknown. As always, penile implants are a final solution.
Age 40. Psychogenic ED for over 20 years. Current regimen: Avanafil 200 mg, oral phentolamine mesylate 40 mg.

Flavio
Posts: 265
Joined: Wed May 19, 2010 4:56 am

Re: Can venous leaks be treated?

Postby Flavio » Fri Feb 28, 2020 5:29 am

We don't even know how prevalent VL really is, there are still no official numbers.
Age 40. Psychogenic ED for over 20 years. Current regimen: Avanafil 200 mg, oral phentolamine mesylate 40 mg.

oatmealkid
Posts: 43
Joined: Tue Dec 17, 2019 12:42 am

Re: Can venous leaks be treated?

Postby oatmealkid » Fri Feb 28, 2020 5:43 am

From what I've seen doctors only check for venous leak when determining if an implant is warranted.
If the problem is ED then an implant provides a cure, obviating the need for fixing a venous leak - in fact surgery to fix the leak would become unnecessary surgery.
70yo m Fla. Severe ED due to type2 diabetes.

Flavio
Posts: 265
Joined: Wed May 19, 2010 4:56 am

Re: Can venous leaks be treated?

Postby Flavio » Fri Feb 28, 2020 9:58 am

I wonder if stents could be used to treat venous leak...

https://www.issm.info/sexual-health-qa/ ... sfunction/
Age 40. Psychogenic ED for over 20 years. Current regimen: Avanafil 200 mg, oral phentolamine mesylate 40 mg.

Way out west
Posts: 20
Joined: Tue Dec 31, 2019 9:58 am

Re: Can venous leaks be treated?

Postby Way out west » Fri Feb 28, 2020 10:23 am

I did stumble across this place: https://mhdclinic.com/venous-leakage-treatment-surgery/, which sounds quite promising and will no doubt be much cheaper than in the UK, not that I'm looking to solve things the cheapest way, but from the website, it sounds like they know what they are talking about, as opposed to the few people I've seen in the UK, that clearly don't!

ETGuy71
Posts: 201
Joined: Thu Jul 19, 2018 10:58 pm
Location: Texas

Re: Can venous leaks be treated?

Postby ETGuy71 » Fri Feb 28, 2020 11:25 am

No stents would not help with VL. The stent is to increase flow in arterial system by opening an area where a stenosis(blockage) has occurred. Venous leak is exactly what it says, the blood leaks, or returns to the venous system to circulate for re-oxygenation turn pumped back into arterial system from the left ventricle of the heart. The leak in penis causes the lack of ability to get or maintain erection. It’s a complex system of how penis gets erect and stays erect, lots of factors have to work properly, from nerves, to arterial system, to venous all responding to stimuli in proper sequence!
69 yrs old. Diagnosed venous leak. Headed towards implant. Urologist canceled surgery due to elevated WBC’s. I got another opinion. Injected with a different dosing of Trimix. Erection for 2.5 hrs. Going with injections rather than implant.

SteveSW
Posts: 160
Joined: Sat Sep 08, 2018 6:23 pm

Re: Can venous leaks be treated?

Postby SteveSW » Fri Feb 28, 2020 12:38 pm

My doc confirmed my VL through a lengthy ultrasound following an injection to achieve a partial erection. He told me it was "severe" and no known cure or corrective action was available. Confirmed that a pump was needed, which will be happening in the next few months.
65 with 15+ years of chronic Peyronie's which caused ED, that of late is has gotten worse. Recently began injection therapy with good results, for now, but I know a pump is in my future. Live in Albuquerque, New Mexico USA.

dtwarren1942
Posts: 1703
Joined: Wed Oct 27, 2010 7:58 pm
Location: Jersey Shore

Re: Can venous leaks be treated?

Postby dtwarren1942 » Fri Feb 28, 2020 3:52 pm

Trimix or similar injections can generate additional blood flow which can overcome minor venous leaks in some cases. The injections worked for me for three years until the leak apparently got worse and the injections no longer worked.

I am currently using a VED.
Age 78
Diabetic
Pumping
Started Trimix injections 8/'11


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