Urology/vascular

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Question
Dr leslie i want to ask that venous leakage is a gradually occurring disease or it can occur suddenly means in a week time? i used to have sustainable erections for 3 to 4 minutes and in standing pose it sustains for a minute only? Does holding rigid erections for 3 or 4 minutes without any physical stimulation indicate venous leakage or more time needed? i don't have daily morning erections,but most of the time it is. i'm 28 no other health problems.

Answer
KK:

There isn't enough information to make any reliable diagnosis.  However, in general, venous leak typically occurs gradually.  Ability to maintain a rigid erection for 3-4 minutes would argue against a venous leak but does not completely rule it out either.

The real question is whether or not you have sufficient duration and rigidity to have normal intercourse.  If so, then it's an academic question.  If not, then whether the problem is venous leak or not is irrelevant as we would need to treat the problem regardless and there is no specific remedy for venous leak.  

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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