I have ED & Peyronie's

[gsc55]

I have just started a treatment program with a Urologist that specializes in Peyronie's Disease and ED.
I had my initial exam a few weeks ago which confirmed the Peyronie's. When I detailed the fact that I went from zero problems with maintaining erections and effective intercourse with my wife, to no longer being able to have sex as I cannot maintain a firm erection. It was a few months, or more, after the onset of ED that I noticed the curve of my penis. I hade pretty much given up hope and now at 69 years of age, I thought my sex life was over.

Anyway, my Dr. stated that the reasons for the ED needed to be determined first, then a potential treatment program for the Peyronie's. (I've had this condition for 3 1/2 years now). He scheduled me for an ultrasound of my penis.

Yesterday, I had the scan performed and will not get the readout from the Urologist until the 22nd. In the meantime, I was able to view the notes and findings input by the ultrasound tech. I"m going to copy and paste the information below:

The penis is scanned in the flaccid state. Spectral Doppler of the right and left
cavernosal arteries at the base of the penis demonstrates patent arterial inflow.
Spectral Doppler of the deep dorsal vein demonstrates patent venous outflow.
The right cavernosal artery peak systolic velocity is 20.2cm/s and the end
diastolic velocity is 2.8cm/s. The resistive index of the right cavernosal artery is
0.86. The left cavernosal artery peak systolic velocity is 17.0cm/s and the end
diastolic velocity is 2.8cm/s. The resistive index of the left cavernosal artery is
0.84. The patient is status post injection of 0.2cc Trimix. The patient was
scanned at 40% tumescence. The right cavernosal artery peak systolic velocity
is 69.4cm/s. There is a right venous leak of 17.1cm/s. The right cavernosal
artery resistive index is 0.75. The left cavernosal artery peak systolic velocity is
41.5cm/s. There is a left venous leak of 14.5cm/s. The left cavernosal artery
resistive index is 0.65. There is a penile an upward curve of 55 degrees
measured with a goniometer.


There are venous leaks visualized bilaterally status post injection. Penile curve
as described above

So, until I talk to my Dr., I don't yet understand what these 'Venous leaks' are all about, what is causing them, and, if there is treatment for correcting it. If not, correcting the Peronie's is a moot point.

Any feedback on this would be appreciated.

[Mikel7]

Venous leaking can be caused from peyronies and also just vascular problems in your cardiovascular system. Some Dr's treat it with medications like tadalafil, VED pumping and also getting an implant. Lifestyle changes can help with exercise and changing diet habits. It will depend on the severity of the leakage though.

I would suggest looking into traction therapy for your curvature. Have you studied the survival guide? Not doing anything is not good and things could get worse. Prevention is the best medicine here. Now if it comes down to it then an implant can be considered. Remember though that the success of the implant comes form the credibility of the surgeon and just how many he/she does in a year.

[gsc55]

My thinking was, and I might be incorrect, that if the ED cannot be corrected, trying to then correct the Peyronie's is a moot point. If I can't get a firm, hard erection correcting the curvature is really not necessary. However, as you say, if the Peyronie's can cause venous leaking, then therapy for both issues is sound.

Regarding traction devices, I have heard from another guy that goes to this Dr. that he has been using the RestoreX device for over a year now and he is 90% back to normal so, I was definitely considering using one too.

I guess I will know more once I speak with my Urologist on the 22nd.

Lastly, I have not read the survival guide I assume it is on this forum? I'll look for it.
Thanks.

[Mikel7]

Here's the link for the survival guide -->Survival Guide .

[gsc55]

Here's the link for the survival guide -->Survival Guide .

There's something wrong with that URL to the Survival Guide. It won't open.

[LWillisjr]

Try this
https://www.peyroniesforum.net/index.php/topic,3180.0.htm

[gsc55]

Got it. Thanks.