Considering Implant - Venous leak - Other options?
Posted: Mon Jun 20, 2016 10:15 pm
After a radical prostatectomy (nerve sparing), and over a 5 year period more and more problems with ED, trying pills, then shots (success at first but not now):
I've been reading and participating some in this forum, studying implants. I had decided I probably should go that route. Having found the doctor that seemed to have good feedback here from the Florida area, I made an appointment and went to see him last week.
They gave me a shot, and then did what I expect was ultrasound. I was told that I have good flow in, but have a venous leak.
I also told him of my last experience with using injections (earlier Edex, later Trimix). The last one I took I had a large bulb appear at the base of my penus. I assume it was blood. Although it didn't look blue as I would have expected. Of course, after it went down, I was well bruised. It also made my penus lean left, which still seems to be the case.
Having made the appointment to see if I was a candidate for penile implant, I did not bring up alternatives. When told of the venous leak, unless I misunderstood, he left me with the impression my only options were the implant. There was no discussion of the leaning penus.
So, since then I have done some research on venous leak, I find discussions of: medications, boosting the parasympathetic nervous system, and arterial reconstruction. I've seen mention of Sclerotherapy, but haven't read much on that yet (find more on that about varicose veins). Venous ligation surgery, it appears from what I've read, have 30-50% success. Not that great.
One thing I might add: Given my history, phycological issues/confidence would likely be an issue even if the leak could be 'fixed'.
Interested in your thoughts. I don't want to jump in on the implant if I would be well off to investigate other things first. I am thinking I may visit a local urologist and get further input there.
Don't know that it makes any difference, a little more background: 68 years old, diabetic (with good control...6.2 A1C).
I've been reading and participating some in this forum, studying implants. I had decided I probably should go that route. Having found the doctor that seemed to have good feedback here from the Florida area, I made an appointment and went to see him last week.
They gave me a shot, and then did what I expect was ultrasound. I was told that I have good flow in, but have a venous leak.
I also told him of my last experience with using injections (earlier Edex, later Trimix). The last one I took I had a large bulb appear at the base of my penus. I assume it was blood. Although it didn't look blue as I would have expected. Of course, after it went down, I was well bruised. It also made my penus lean left, which still seems to be the case.
Having made the appointment to see if I was a candidate for penile implant, I did not bring up alternatives. When told of the venous leak, unless I misunderstood, he left me with the impression my only options were the implant. There was no discussion of the leaning penus.
So, since then I have done some research on venous leak, I find discussions of: medications, boosting the parasympathetic nervous system, and arterial reconstruction. I've seen mention of Sclerotherapy, but haven't read much on that yet (find more on that about varicose veins). Venous ligation surgery, it appears from what I've read, have 30-50% success. Not that great.
One thing I might add: Given my history, phycological issues/confidence would likely be an issue even if the leak could be 'fixed'.
Interested in your thoughts. I don't want to jump in on the implant if I would be well off to investigate other things first. I am thinking I may visit a local urologist and get further input there.
Don't know that it makes any difference, a little more background: 68 years old, diabetic (with good control...6.2 A1C).