If your penis becomes erect with sexual stimulation but loses firmness quickly, venous leakage may be the cause.
This condition occurs when arterial blood flows into the penis normally, but venous blood exits too quickly, preventing the penis from staying firm.
How Does the Surgery Solve Venous Leakage?
Through penile venous ligation, we identify and tie off or remove the problematic veins that cause this rapid blood outflow.
This allows more blood to stay in the erectile tissue, helping achieve and maintain a stronger and longer-lasting erection.
How Does the Surgery Solve Venous Leakage?
Through penile venous ligation, we identify and tie off or remove the problematic veins that cause this rapid blood outflow.
This allows more blood to stay in the erectile tissue, helping achieve and maintain a stronger and longer-lasting erection.
How Is the Procedure Performed?
| spect | Details |
|---|---|
| Treatment Goal | Prevent abnormal venous return and increase pressure and blood volume in the corpora cavernosa. |
| Surgical Principle | Precisely locate and seal leaking veins to enhance blood retention and improve erection quality. |
| Technique | Minimally invasive surgery through the perineum or penile base, avoiding injury to normal vessels. |
| Duration | Typically 1–2 hours; most patients can go home the same day or the next. |
What Are the Results? Who Is It For?
Medical literature shows that in patients properly diagnosed with venous leakage, the success rate exceeds 70%, with significant improvement in erection hardness and duration.
Best Candidates Include:
- Patients who did not respond to ED medications (e.g., Viagra, Cialis)
- Those who can achieve an erection, but cannot maintain it for more than 2–3 minutes
- Men with confirmed venous leakage through Doppler ultrasound and penile blood flow tests
- Patients seeking a non-implant, natural-function-preserving ED treatment
Are There Any Risks? What Should You Know?
Like any surgical procedure, penile venous ligation comes with some potential risks:
- Post-operative bleeding, swelling, or local infection
- Individual results may vary due to anatomical or healing differences
- Some patients may still benefit from additional therapies (e.g., shockwave therapy or PDE5 inhibitors)
That said, with refined surgical techniques and careful preoperative assessment, we can minimize complications and maximize outcomes and patient satisfaction.
Venous Leakage—A Common but Overlooked Cause of ED
Venous leakage is just one of many causes of erectile dysfunction, but it is often underdiagnosed.
At my clinic, we use comprehensive evaluations including medical interviews, penile Doppler ultrasound, and nocturnal erection tests to determine each patient’s vascular status and treatment suitability.
If you suspect venous-type ED or are interested in surgical options, I invite you to schedule a consultation with me, Dr. Cheng-Hsing Hsieh. Let’s work together to restore your sexual health and confidence.
