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Urology/venous leak afraid?


Hey! I've been afraid of venous leakage, as I see that quite many people in this forum. I was masturbating recently quite fiercely (not with a very hard grip but mainly fast, and I may have squeezed my legs quite much too to orgasm), and I think I did some kegels at the same time, then suddenly my penis felt kind of numb and I remember that mainly at the right side. This didnt last so long (about 10-20 sec.), but my erection went away (maybe because I kinda got worried, I dont know).
  After this I've been able to masturbate and finish but I usually do this lying in bed (harder to do standing), 'cause I have to squeeze my legs to orgasm (maybe because of post-ssri dysfunction, hard to get the orgasm as well and absent libido). So does this sound like I could have gotten venous leak??? It's hard for me to tell because when I masturbate I dont last very long (about 1-3 minutes) before ejaculating. I do still wake up sometimes with the morning erection.   
  If I get good/long erections with 5mg cialis, is it safe to say that I dont have the leak? Can you feel it in your penis if you have the venous leak e.g. warm feeling in your penis etc.?

Many thanks for your answer!

At 25 years old I am going to say you do not have a leak based on your description and age. A venous leak is the inability to attain an erection via venous valvular incompetence. If your feet and ankles swell and you are having to put your feet up or wear compression socks to alleviate the swelling then it could be possible as venous failure is a systemic condition if it happens to a younger person. Only aging men with co-morbidities like diabetes, cardio vascular disease or a vascular disorder that induces deterioration of vasculature can have a true venous leak. Many men and even some physicians believe acute detumescence (loss of erection) is categorized as a leak. This is not so its just the loss of erection from a non vasculature response like adrenaline via psychogenic factors,  in 90% of all spontaneous detumescences its in then younger men's head. Is it real? Yes sir it is but the veins only open upon smooth muscle contraction that is signaled by a vaso constrictor like adrenaline. The more you worry the worse it gets, the key word your question started with was "AFRAID" so I am very apt to believe its a stress induced response. SSRI drugs can have effects on erections but the fact you get one and lose it says the plumbing is capable of doing its job. 5mg Cialis is a perfect drug for people having these struggles but do not become dependant ever time  you want an erection to use it.


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Thomas A Suppe RDMS CLT


Invervential urologic radiology , urologic laser surgery, cryotherapy of the prostate and kidney, extracorporal shockwave lithotripsy, holmium laser lithotripsy, urodynamics (video-non video),male infertility, erectile dysfunction, Peyronies disease, hypogonadism ,kidney stones, prostate cancer detection, BPH, voiding dysfunction, bladder cancer and continent diversions.


For the past 20 years performing intervential and diagnostic uro-radiology for a multitude of urologic surgeons from New York, New Jersey, Lousianna and Texas. Founder of DMS medical LLC introducing the Texas Medical Center to the first high power Green Light laser for the treatment of BPH just after its release by the FDA from Laserscope and its sucessful trials at the Mayo Clinc.

American Registery of Diagnostic Medical Sonographers (ARDMS), American Urologic Assocoation (AUA), American Medical Systems (AMS) Laserscope,Oncura, Allergan and Auxilliam pharmaceuticals.

Comprehention of Urologic Ultrasonography for the Resident Physician (Journal of Urology 2012), Author of the syllabus for the uro-radiology residency course at The Scott Dept of Urology at Baylor College of Medicine Houston Texas (2010 to present). Past Clinical Studies: Principal radiology investigator Allergan Inc for "The treatment of BPH with intra-prostatic injections of Botox" with Larry I Lipshultz MD 2011-2012, principal radiology investigator for Allergan Inc for "The treatment of Peyronies disease by intra-lesional penile injections of Botox" with Mohit Khera MD MBA MPH (2011-2012). Current studies: Principal investigator of "Blood pressure risk factors of intra cavernosal injections of Trimix and PGE1 during Penile Duplex's.

BS from Ramapo College of NJ, Registered diagnostic medical sonographer with the ARDMS, 2 year fellowship of Uro-Radiology and intervential sonography at Baylor College of Medicine Houston TX, laser safty officer in state of Texas and certified in KTP, Holmium and Lithium Tri-boride laser systems from Laserscope San Jose, California and American Medical Systems Minnatonka Minnasota, trained and certified by Oncura Inc Isreal in ultrasound guided argon cryotherapy of the prostate and kidney.

Awards and Honors
Honorary instructor of GU ultrasound course 2012 international meeting of the American Urologic Association. Author of the the AUA course for "Ultrasonography of the Testes and Scrotum" 2012.

Past/Present Clients
Baylor College of Medicine (BCM) Lousianna State University (LSU), LSU Medical Center Shreeveport LA, The Methodist Hospital Houston Texas, St Lukes Episcopal Hospital Houston Texas, Memorial Herman Health Systems Houston Texas, Palestine RMC Texas, Doctors Regional Hospital Corpus Christi Texas, Valverde Regional Medical Center DelRio Texas, Current instructor/technologist for two internationally recognized urologists : Larry I Lipshultz MD and Mohit Khera MD, MBA, MPH at Baylor College of Medicine. I served as intervential sonography consultant for Oncura Inc cryotherapy systems. Former lead trainer for Urosource mobile medical services , training new surgeons in PVP or photo-selective vaporization of the prostate for BPH, BNCs and urethral stricture vaporization.

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