Vascular Disease: Venous Leakage Penile Disorders


How penile venous leakage disease disorder contributes to poor genital erection

Impotence was once thought to be a predominantly psychological problem, or a normal part of the aging process. However, impotence or “erectile dysfunction” as it is now described, nearly always has an underlying physiological cause which can be treated.

An penile erection is a complex event but ultimately it comes down to rigidity provided by hydrodynamic forces. These forces will not get started if the mood isn’t right and that is where the mental aspect features. Potency is not just a man’s sexual issue, it is a personal relationship issue.

Hormones do not have much to do with the mechanics of genital erection, but a lot to do with the mood, motivation and arousal required to achieve male genital erections. With advancing years, the male hormone testosterone declines and results in a lowering of energy, sexual libido, rate of beard growth and frequency of night-time or early morning waking erections. Hormone levels however do not affect the quality of an genital erection.

The rigidity of an genital erection is more of a function of venous blood flow. Healthy venous arteries will facilitate an inflow of blood in response to the dilation or opening of the venous channels. This flow rapidly increases in response to appropriate sexual stimulation either through natural arousal (masturbation or intercourse) or artificial stimulation by medication such as Viagra or generic Viagra prescription drugs. An inadequate response to either natural or drug stimulation suggests good genital venous arterial filling but failure to trap blood (venous leakage) within the penis erectile tissue. Genital veins, which drain the erectile spaces, may leak inappropriately and a soft erectile response, or a rapid loss of erection is often the result. This failure of the venous-occlusive mechanism lets the pressure out, and is the single most common cause of impotence. It may co-exist with poor arterial inflow, hormone abnormalities or both.


A range of options is available depending on individual need:

  • hormone replacement
  • penile constriction band
  • arterial stimulation by drug for flow deficiency
  • surgical correction by arterial and/or venous leakage surgery
  • artificial penile implantation of device of choice

Arterial reconstruction is a fairly major procedure but feasible certainly in younger men with proven problems. This treatment is rarely required. Venous leakage ligation is a relatively minor procedure, highly successful with some risk, done in a day surgery setting. This method is the most acceptable treatment as it results in improved natural response. Offering a success rate approaching 90% with little surgical trauma, this procedure offers an attractive option.


Erectile dysfunction that responds well to drug medication is usually related to psychological issues rather than arterial blood flow. When the response to either natural or stimulated arousal results in a soft erection, or one which is quickly lost, the problem is more likely to be venous leakage.

Vascular Disease Disorders is the leading cause. Vascular disease disorders including arteriosclerosis (hardening of the arteries), hypertension, hypercholestremia and other disease disorders conditions which interfere with the blood flow to the penis. Additionally, “venous leakage” also contributes to poor erections. This condition occurs when the penile veins are unable to constrict efficiently during an erection. When these veins “leak” blood escapes to the periphery resulting in a poor erection.