Young, Attractive, ... IMPOTENT?!? | UroChannel 

Here is a nightmare condition in young men: erectile dysfunction due to venous leakage. While it is a neglected condition for most doctors, other doctors consider it a mystery. In this video on UroChannel, Dr. Dr. Stefan Buntrock, a board-certified urologist from Göttingen, and Prof. Irwin Goldstein from San Diego Sexual medicine explore this complex issue and its implications.
Venous leakage occurs when veins in the penis fail to close, preventing blood from being trapped and resulting in erectile dysfunction. Typically, arteries bring oxygenated blood to the penis, while veins return used blood to the heart. In a healthy erection, the veins close, trapping blood in the penis. However, in veno-occlusive erectile dysfunction, the veins stay open, leading to erectile issues.
Dr. Buntrock recently attended the International Society for Medical Shockwave Treatment meeting in Amsterdam, where he interviewed Prof. Irwin Goldstein, a leading expert in sexual medicine. They discussed the anatomical and physiological aspects of venous leakage. One key factor is the tunica albuginea, a tissue that helps trap blood in the penis. If intracavernosal pressure is insufficient, venous leakage occurs.
Factors contributing to venous leakage include abnormal anatomical distribution of veins, excessive fibrosis of erectile tissue, and side effects from medications like SSRIs and Finasteride. These drugs can cause scarring in the penile tissue, leading to venous leakage. But also bike injuries contribute to this complex condition. Likewise, they can cause scarring of the crus of the penis. Shockwave therapy has emerged as a promising treatment to restore cavernous smooth muscle and reverse fibrosis.
For young men, diagnosing venous leakage can be challenging. Traditional color Doppler ultrasound may miss it, whereas grayscale ultrasound, which requires high-resolution equipment, is more effective. Shockwave therapy shows potential in reversing fibrosis and improving erectile function.
Stay tuned for more insights into sexual health and cutting-edge treatments.
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