Patient's question:
At the hospital, I underwent a Doppler flow study of the penis, and the doctor said I have a venous leak. I usually have sexual desire, but when I have sex with my wife, my penis does not spontaneously erect.Doctor's answer:
This condition is generally caused by insufficient blood supply to the penis due to inadequate pressure within the corpora cavernosa, which fails to block venous. If the arterial blood supply is sufficient and the pressure in the corpora cavernosa is adequate, this phenomenon would not occur. Therefore, selective penile arterial dilation drugs can be used to improve blood supply to the penile arteries, restore normal cavernosal pressure, and effectively block venous. Tadalafil can be taken before each sexual activity, and continuous treatment for 4-6 weeks can improve penile arterial blood supply, thereby alleviating the symptoms of the so-called venous leakage. Additionally, psychological factors can also affect penile arterial blood supply, so it's important to relax during sexual activity. For someone of your age, the treatment method of implantable devices should be approached with caution. I believe this method is more suitable for patients over 50.