Venous leak despite strong response to Vardenafil?

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Emv

Since last December I noticed I could get hard, but not maintain my erection - it would fade within seconds.

I have improved and can - at times - have intercourse without PDE5i. But the erection is not as super-hard as it used to be (I take 5mg of nightly cialis).

However, I noticed that whenever I take 5 or 10mg of VARDENAFIL/Levitra, I get rock-hard and can have intercourse with the rock-hard erection several times a night with a refractory period of about 20-30 minutes.

My questions:

A) I still am concerned with venous leak. Is it normal/realistic to respond so well to PDE5i with VL? My understanding is that PDE5 rather affects inflow.

B) Is it not uncommon that one PDE5i (in my case Vardenafil) works so much better than the other one, in my case Tadalafil?
30 degrees bend to the left. Sometimes can't keep firm erections without constant stimulation.

nemo

I know there was a time I was finding Viagra to be losing its effectiveness with me and Levitra really worked like a champ.

I do think the drugs work in slightly different ways and you just need to experiment to find which works best for your situation and condition.

Regards,
Nemo
51 yrs. old, multiple auto-immune conditions. First episode of Peyronies Disease in 2002. Recurred a couple times since. Over the years I have tried Topical Verapamil, Iontophoresis, all the supps and Cialis + Pentoxifylline. Still functional, always worried.

Emv

Thanks Nemo. Do you think Levitra may be the most effective one when it comes to hardness of erections (but may  be of lower effectiveness duration)?

Regarding my other question I'd be curious to hear what other veterans like Hawk would say, too. Venous leak seems to suggest that there is something wrong with the veno occlusive mechanism. But if the veno occlusive mechanism appear to "work" with a certain PDE5i, is then my inflow a problem rather than outflow?  
30 degrees bend to the left. Sometimes can't keep firm erections without constant stimulation.

nemo

I just mean to say different drugs work better for different men with different situations. Not that Levitra is "better" than the others. But right now, if it is working better for you, that's great. We're lucky to live in an age when these drugs are readily available - millions upon millions of men before us weren't so fortunate.

Nemo
51 yrs. old, multiple auto-immune conditions. First episode of Peyronies Disease in 2002. Recurred a couple times since. Over the years I have tried Topical Verapamil, Iontophoresis, all the supps and Cialis + Pentoxifylline. Still functional, always worried.

Sanabo

5 mg cialis is more of a maintenance dose. It does nothing for me. 10 mg and 20 mg for sure  of cialis is where I used to get more results.  
42, acute, began 2/21
30 degree curve left, 15 up, bottleneck
Carnitine, CoQ10, arginine, 5 mg Cialis, pentox
Moderate ED, getting worse