Erectile Dysfunction
Erectile dysfunction (ED), the inability to achieve and maintain an erection firm enough for sexual activity, is a common issue affecting men, especially as they age. Research indicates that up to 43.5% of men in their sixties may experience ED to some degree.
For a man to sustain a rigid erection during sexual activity, blood must remain within the penis until climax. This is achieved through a process called veno-occlusion, where the veins constrict to keep blood inside. When climax occurs, the veins relax and blood flows back into the body.
However, if the veins fail to constrict tightly enough, blood may leak out prematurely, causing the erection to subside. Many men with this type of ED find they can achieve an initial erection but struggle to maintain firmness. Known as a venous leak, this issue is responsible for more than 80% of ED cases, particularly in places like Malaysia.
Seeking medical advice can help identify underlying causes and treatment options to effectively manage and treat this condition.
Symtoms
Inability to sustain an erection for sexual intercourse.
Risk Factors
• High blood pressure • Elevated cholesterol levels • Diabetes • Peripheral vascular disease • Excessive stress • Obesity • Family history of atherosclerosis • Smoking • Anxiety
Diagnosis
A Doppler ultrasound is used to assess blood flow in and out of the penis. Cavernosography, with the help of radiographic contrast, is performed to visualize venous leakage.
Conventional Treatment For Erectile Dysfuction
1. Oral Medications: Commonly prescribed medications, such as Viagra or Cialis, work by enhancing blood flow to the penis; however, they may not target the root cause of erectile dysfunction (ED). 2. Vacuum Constriction Devices: These mechanical devices work by creating a vacuum that draws blood into the penis, assisting in achieving an erection. However, they may feel cumbersome to use and lack spontaneity. 3. Intracavernosal Self-Injection: Medications injected directly into the penis can help induce an erection, though they may cause discomfort and require precise administration. 4. Penile Implants: Surgical options involve implanting devices within the penis to enable erections. Although effective, this method is invasive, may be painful, and requires a substantial recovery period. 5. Lifestyle Changes: Suggested changes typically include enhancing diet, increasing physical activity, and addressing underlying health issues. While beneficial, these approaches may take time to yield results and may not fully resolve ED for all patients.
Treatment
For treating erectile dysfunction, non-surgical options like medication or pump devices are often recommended but generally serve as temporary solutions without addressing the root cause. We provide a surgical treatment known as endovascular embolisation (retrograde/anterograde), performed under light sedation. This minimally invasive procedure allows for same-day discharge with minimal pain, no visible scarring, and a quick recovery. Ideal for patients with venous leaks who prefer to avoid traditional surgery, the procedure involves embolising the periprostatic venous plexus. A thin catheter is inserted through the deep dorsal or femoral vein, guided by X-ray fluoroscopy to the affected area. Small titanium coils and embolic agents are then injected to permanently seal off the leaking vein(s).
Introducing Venous Leak Embolization
Venous Leak Embolization is a cutting-edge, evidence-based technique designed to minimize risks while maximizing effectiveness. This treatment boasts a high success rate, with numerous patients experiencing notable improvements in symptoms and quality of life. This revolutionary, minimally invasive procedure addresses the root cause of ED related to venous leaks, offering a transformative option for those who have not achieved results with traditional ED treatments.
Key Benefits Of Venous Leak Embolization
1. Targeted Solution: Directly addresses the root cause by sealing leaking veins for a more effective treatment. 2. Minimally Invasive: Guided by advanced imaging, this procedure avoids major surgery, involves minimal pain, and leaves no visible scar. 3. Quick Recovery: Patients generally experience minimal downtime and can resume regular activities within a few days. 4. Long-Lasting Results: Embolization effectively halts venous leaks, promoting sustained erections and enhanced sexual satisfaction. 5. Personalised Approach: Each treatment is customized to the patient’s unique condition, optimizing the chances of a successful outcome.
What To Expect
1. Consultation & Assessment: A comprehensive evaluation with our specialist to confirm if a venous leak is the underlying cause. 2. Preparation: The procedure is performed under light sedation, eliminating the need for general anesthesia. 3. Guided Embolization: With the aid of imaging, the specialist inserts a catheter through a small incision, directing it precisely to the leaking veins in the pelvic area. 4. Sealing The Vein: A specialized embolic agent is applied to close off the veins, preventing blood loss and promoting better retention during erections.
Who Is It For
Venous Leak Embolization is ideal for men who: 1. Have ED caused specifically by venous leak. 2. Have not experienced satisfactory results from medications or conventional treatments. 3. Are looking for a long-term, minimally invasive solution.
If you or a loved one struggles with ED caused by venous leak, venous leak embolization could be the solution you’ve been waiting for. Connect with us today to learn more about how this advanced treatment can improve your quality of life and restore confidence.