Know about vein sexual ED

Know about vein sexual ED

People also invited psychiatrists consultation. Despite the debate, but bull always persist one's old ways, "sit bosom not disorderly", and finally tore myself put these few head expensive kind of cow slaughtering off. After anatomy examination people was surprised to find that the problem in the cavernous and venous drainage systems, covering the white membrane unexpectedly spongy there exist some cracks and veins are interlinked, so how much blood is always go to how many, of course, are difficult to maintain erection and due hardness. I didn't think of that few bull sacrifice for people to know that the important leap. Impotence

According to reports in the literature, vascular impotence is organic impotence in the highest incidence, vascular impotence can be further divided into artery sex, intravenous sex, arteriovenous mixed three types of sexual impotence, in which most people vein in vascular impotence attention, the vast majority. Intravenous leak majority is spontaneous, its incidence increased with age.

Vein causes of sexual impotence is not yet clear, supposedly can include the following:

(1), the penis sponge body exists or generated the diameter too bulky or excessive number of venous blood vessels, excessive vein is probably innate (patient will be primary impotence), may also acquired (secondary impotence). Congenital or Japanese b encephalitis intravenous valve relatively close not whole; Intravenous containing scar; Intravenous elastic along with the age and drops.

(2), white membrane happened degeneration and thinning and feeble, lead to guide veins and white film next venous oppressive power shortage, this may be aging, scleroma disease or many unknown reasons. White film can also exist congenital or acquired leak gap. For example, old man penis sponge body in white film neurotransmitter receptors anomalies of change, make elastic fiber function disorder, can cause erectile not Kennedy, become one of the reasons why leakage vein.

(3), cavernous direct damage such as smooth muscle atrophy or fibrosis can prevent blood sinus of sufficient expansion and the venules oppression. These compliance loss may be diabetes or atherosclerosis and other patients common injury, atrophy or degeneration causing. Cavernous group also can happen collagen fiber increased and make elastic abate.

(4), the neurotransmitter inadequate or inappropriate release, leading to blood sinus cannot very good relaxation, also make the vein blocking failure. It could be because psychogenic or neurological, also may be smoke inhalation too much nicotine, excessive adrenaline can activities to enhance the stimulus alpha receptors and make blood-vessel tension increased.

(5), whether congenital or the Japanese b encephalitis penis sponge body and urethra between vein traffic a spongy can cause impotence. Japanese b encephalitis caused by the may be trauma, also may be treatment caused when priapism puncture.

No matter what the situation, the intravenous sexual impotence are the penis sponge body venous system anomalies, make the sponge body pressure da is less than 80 MMHG and erectile process cannot effectively reduce venous return and a large number of blood to go from vein, thus making the leakage of your penis not establish a short time or erection. The distribution of leakage from the penis vein degree and see, can be divided into the following kinds:

(1), penis deep vein leak: back) could be back around deep vein, penis vein plexus and bladder lateral vein plexus enhancement.

(2), glans penis sponge body glans penis leak: imaging visible and urethral cavernous enhancement.

(3), cavernous vein leak: imaging visible penis feet or deep vein and genitals penis inside vein enhancement.

(4), superficial vein leak: visible bulky superficial vein import saphenous vein, femoral vein or spermatic vein, spermatic vein plexus.

(5), complexity vein leak: two or more vein leak also present.

In 1-4 each type of deep vein leak back, the penis is the most popular, can be occupied 85%, but simple deep vein leak back accounts for only one of the 1/4, the remaining three/four for complexity vein leakage. This means that if not careful to points of venous sexual impotence according to different types of type and adopt different vein leak operation method cannot be achieved good curative effect, the past indiscriminate separate ligation deep vein failed to reach back at an ideal result is the inevitable result of the people to recognize the shallow. Ligation operations at best just take temporary solution method rather than the fundamental means, so thoroughly again ligation hard to ensure the long-term operation and effect. Preoperative patients should be carefully selected, sufficient preoperative evaluation of the venous anatomical have thoroughly understand, have adept surgery, the high success rate can ensure surgery. From the above pathogenetic mechanisms analysis to see, for the first one and the first five mechanism of sexual impotence, whether intravenous repair leaks gap or ligation overmuch vein are expected to get better operation effect. Unless the illness is very light, not recommended to these patients injections to chemical prosthesis method, otherwise the drug will soon enter body, cause systemic drug reaction. For the second and the third vein for sexual impotence, unless lesions are very limited, or unfavorable implementation vascular surgery. Fake implants are more appropriate. As for the first four vein sexual impotence patients to treatment should be highly individual: heart has serious patients must choose rational factors and arrange psychological treatment; Can be used for neural murky small doses of the penis sponge body vascular active drug injections.

In order to better illustrate the sexual impotence, vein, we can see it is a typical cases:

An unmarried man has repeatedly tried to sexual intercourse with his girlfriend and never fails to complete inserted. Physical examination, found that the man strong body, no noticeable past medical history and surgery history. He complain can normal reach sexual arousal, the penis respond to sexual stimulation reaction very rapidly, with morning erections. His main problem is erectile hardness is insufficient, erect only 40 ° Angle. In the penis sponge injected into the body also can achieve after poppy alkali 45 °. The penis sponge body imaging showed blood can be freely to the glans penis sponge body leak by, and can also in prostate vein plexus, pussy veins and double iliac within venous system within that contrast enhancement, see is serious, intravenous leakage belongs to complexity vein leakage. To execute surgery in each found near the penis sponge body cutting-edge parts have a nearly 5 mm long fissure and leads to sponge body organization, leakage is occurred here. The doctor stitched the fracture for several days after he can already normal erectile. Two years later when he has married follow-up, had a child, again not meet erectile difficulty. In other cases, the patient previously has a normal sexual function, until 45 erections occurred difficulties, interesting is his impotence occurred in six months ago after quarrelling between couples, this is they get married for 20 years noisy loudest time, afterwards, but both sides separation half month after two together that man's sexual anymore. Although still morning erectile, but hardness has very poor. Imaging found back the spongy deep vein leakage. Surgical ligation and resection and its major branch back after deep venous disease has greatly improved. Postoperatie histopathologic examination revealed vein contains scar tissue. So why fight, and former sexual is good after separating half sudden same success? The patient himself the reason is: "analysis of more than half a month to have no sex is like dry heating boiler is same, vascular probably to burn fry", but from the medicine to see this is almost impossible. We can only give such speculation, intravenous lesions, but can already exists original compensatory, when there are certain after quarrelling between couples from neurotransmitter inappropriate, the influence of the release of compensatory will disappear, the result of sexual impotence recessive vein publicity.

Note that this recessive vein leak case is not rare, because in some have normal erectile capability in the man can see becauce of the leakage. Their clinical significance is awaiting further in-depth study and research.