Dear Doctor,

I am 32 years old and i cant able to maintain erection for more than 10 sec. From your website i identified it look like ” venous leakage”. My question is ” is Venous leakage curable? can i go for a marriage after this? ” Regards,

• Rojan
  

Ans: Venous leak is treatable. We cannot consider it just like an infection or a diarrhea which is curable.

Venous leak

It is known as venous occlusive dysfunction. The mental component of sexual excitement signals the heart to pump more blood into the peripheral organs of the body as a result more blood flows in to the penis causing an erection. The blood flown into the corpus cavernosa must stay there till the ejaculation followed by detumscence. Venogenic ED occurs when the blood flows out from the penis during erection instead of trapping in the cavernous sinuses. In short instead of trapping in the penis the blood flows back to the heart leading to loss of erection. Patient with VOD can achieve an erection but it doesn’t sustain for more than a few seconds, the rigidity or the hardness loses immediately. Artereogenic and venogenic ED can only be identified by a proper colour duplex ultrasound scanning by an expert team of andrologist, radiologist and a clinical psychologist well versed in sexual medicine.

1. If you suspect venous leak we have to test it and confirm.

2. Then treat with medicines and see whether you are able to maintain an erection sufficient for a satisfactory sexual intercourse.

3. If medicines are not effective the choice of treatment is surgery either venous ligation or implant.