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Home > Archive > Impotence Support > March 2006 > desperate for an help (doppler results)
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desperate for an help (doppler results)
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| Joseph 2006-03-22, 12:32 pm |
| Hi all.
Yesterday i made a dynamic and static eco doppler.
Doctor used 5 mcg of alprostadil. I did not achieve an erection, just
a tumuscence.
Results were:
(arterial) peaki flow velocity 38 cm/s
(venous) end diastolic velocity 8 cm/s
Doctor said i have venous leakage. I'm 32... had problems since was 24.
8 cm/s... Is this a severe leakage??
During test, doctor ask me to stand up, after 2 minutes i felt dizzy.
Doctor said this is confirmation i have venous leakage. Then said me i
had very very large venis in the penis, another sign i have leakage.
This was a very sad day. Read venous leakage is worst form of ED. I
need some help from you please. What can i do now?
Usually i can achieve an erection, but not a 100% erection. No morning
wood.
I'm so depressed after this news....
Thanks....
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| See my reply to your post at our ASI moderated site. You can email me
if you can't access it.
Jim
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| The scientist 2006-03-22, 12:32 pm |
| Joseph,
Don't panic, you may not have venous leak!
Some caveats regarding doppler diagnosis of venous leak.
1. Doppler is the gold standard for diagnosing arterial BUT NOT for
venous leak.
2. Need to ensure maximum cavernosal relaxation - 5 mcg alprostadil is
a low dose, need 20 mcg plus phentolamine (see "Phentolamine re-dosing
during penile dynamic colour Doppler ultrasound by Gontero).
3. Can't see what enlarged veins and dizziness have got to do with
venous leak. Venous leak is usually a dysfunction of the smooth muscle
in the penis.
Finally, did you go to a proper urologist? in the US the top people
are Mulhall, Culley carson, Padma-Nathan, McVary and Seftel.
venous leak in young men is very rare.
Cheers
Norman
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| Joseph 2006-03-22, 12:32 pm |
| > Don't panic, you may not have venous leak!
>
> Some caveats regarding doppler diagnosis of venous leak.
> 1. Doppler is the gold standard for diagnosing arterial BUT NOT for
> venous leak.
> 2. Need to ensure maximum cavernosal relaxation - 5 mcg alprostadil is
> a low dose, need 20 mcg plus phentolamine (see "Phentolamine re-dosing
> during penile dynamic colour Doppler ultrasound by Gontero).
> 3. Can't see what enlarged veins and dizziness have got to do with
> venous leak. Venous leak is usually a dysfunction of the smooth muscle
> in the penis.
>
> venous leak in young men is very rare.
Doctor talked me about surgery. He said has 30% success...... Then talked me
about penis implant. Finally he said i can try to use cialis for life.
I tried to use cialis in these weeks. It helped a bit. Erections are
more firm. Sometimes i wake up in the night with an erection (not a
100% erection). But since i begin to use it i noticed large and
swollen veins on the penis. Particularly i noticed a sort of
annoyance on the central vein.
Is possible Cialis will increase veins damage?
I got test two days ago, and since that i'm experiencing no erections
at all and a general annoyance on the penis and the central vein that
looks a bit swollen.
Maybe is it related to alprostadil?
Doctor said i was slow to get tumuscence. He said it's related to
leak.
Do you think increasing inflow can overcome outflow?
Can I get these results using cialis too? In other words, are C,V
and L only 100% effective with arterial problems?
Are cockrings dangerous? Do they hurt? What about 'Stay Erect' band?
I'm not scared about injecting but do they work with venous leakage?
Is not possible to repair damaged veins with some drugs? Why i got
damage? I have very low cholesterol, don't drink, don't smoke.
I'm experiencing ED since i was 24. I thinked it was caused by
steroids i used when i was 22. But now i think maybe there is not any
correlation.
When i begin to experience ED i was engaged with a girl. After 1 year
the relationship ended. Since that, i decided to stay alone. I'm a
beautiful boy, many girls would want to date with me but i was not
ready to show again my problems. So I lived an alternative life. But
now I'm 32, and I have to decide what do of my life. Sex was great,
but now.... I feel my life is compromised. Maybe was better to not
know i have venous leakage. Maybe was better to think it's all on my
head or use supplements. I was too young and I'm too young to accept
this permanent condition.
Surgery would be my first choice if i have a chance to recover. But
seems it doesn't work.
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| Jerry Sturdivant 2006-03-22, 12:32 pm |
|
> I tried to use cialis in these weeks. It helped a bit.
> Erections are more firm.
> [.]
> During test, doctor ask me to stand up, after 2 minutes
> i felt dizzy. Doctor said this is confirmation i have venous leakage.
> [.]
> Doctor talked me about surgery. He said has 30% success......
Whoa! Don't get cut until you've exhausted all available options. It sounds
like he's selling operations.
Until you've tried injections therapy, you've not tried everything. See a
urologists. Look at everything you're taking. From coffee, to coke to cold
medicine to the rest of your diet.
Jerry of ASI
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| Joseph 2006-03-22, 12:32 pm |
| Jerry Sturdivant wrote:
> Whoa! Don't get cut until you've exhausted all available options. It
> sounds like he's selling operations.
>
> Until you've tried injections therapy, you've not tried everything.
> See a urologists. Look at everything you're taking. From coffee, to
> coke to cold medicine to the rest of your diet.
I don't drink any coffee (just a cofee on friday and one on saturday evening
before going out with friends). I usually smoke 3-4 cigarettes on friday and
saturday night, and maybe 1-2 during other days. Don't drink coke.
Cholesterol is very very low. I don't eat any fat.
About one hour ago i've taken 10 mg of cialis. It helps a bit. Watched
some porno and can get an erection with a bit manipulation. Erection would
been good enough to penetration and infact i can masturbate myself. Was not
an hard-on like was when i was 20, but still it's something.
A think that i noticed using or not any drugs: usually i can get better
erection the second time i try after the first ejaculation. Maybe is
related to blood circulating better? Have to say: if I can achieve always
this kind of erection like was some minutes ago, then I'm happy!
This is why I'm for Cialis. It works a lot of time, giving me old
sensations like past. Ok, not strong like was, but still something.
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| Joseph 2006-03-22, 12:32 pm |
| Joseph wrote:
> About one hour ago i've taken 10 mg of cialis. It helps a bit.
> Watched some porno and can get an erection with a bit manipulation.
> Erection would been good enough to penetration and infact i can
> masturbate myself. Was not an hard-on like was when i was 20, but
> still it's something.
> A think that i noticed using or not any drugs: usually i can get
> better erection the second time i try after the first ejaculation.
Done the second and again I got a nice erection easily. This drug works so
nice. I'm going to stop any further investigations. Take the pill and begin
to live again.
Have I to cycle it? Or I can take it 'for life' without any form of cycling?
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| Jerry Sturdivant 2006-03-22, 12:32 pm |
|
> Done the second and again I got a nice erection easily.
> This drug works so nice. I'm going to stop any further
> investigations. Take the pill and begin to live again. Have
> I to cycle it? Or I can take it 'for life' without any form of cycling?
Because of the short time that Cialis has been out, no long-range data is
available. But if it works; great. You might also try the other medicines as
variables; such as Viagra and injections. Good luck and let us know how it
goes.
Jerry of ASI
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| Joseph 2006-03-22, 12:32 pm |
| Jerry Sturdivant wrote:
> Because of the short time that Cialis has been out, no long-range
> data is available. But if it works; great. You might also try the
> other medicines as variables; such as Viagra and injections. Good
> luck and let us know how it goes.
No morning wood and this was a bit disappointing. After waking up I tried
to get it erect, but get only a semi and this last very few. Maybe I'm
pretending too much. What do u think about taking Cialis 10 mg every day?
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| Joseph 2006-03-22, 12:32 pm |
| Joseph wrote:
> No morning wood and this was a bit disappointing. After waking up I
> tried to get it erect, but get only a semi and this last very few.
> Maybe I'm pretending too much. What do u think about taking Cialis
> 10 mg every day?
Just returned from a visit to another doctor.
According to him, venous leakage is not the cause but a consequence of
something related to my mind.
He said in the past he made a lot of surgeries related to venous
leakage but they hadn't any success, so he thinks venous leakage
doesn't exist. It's the mind that cause venous leakage.
I'm too skeptical about that.
Still, he then told me to take Cialis 20 mg every 72 hours.
What about taking 10 mg every 24 hours?
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| Beach Runner 2006-03-22, 12:32 pm |
|
Joseph wrote:
> Jerry Sturdivant wrote:
>
>
>
> No morning wood and this was a bit disappointing. After waking up I tried
> to get it erect, but get only a semi and this last very few. Maybe I'm
> pretending too much. What do u think about taking Cialis 10 mg every day?
>
>
I don't seem to need anything these days, but my urologist won't
prescribe it. He's one of the top 50 doctors in America. He says too
often the patents get backaches. He prescribed it to some folks that
went on cruises (I live near the water in Florida) and they were unable
to do anything because of the backaches.
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| Muerta 2006-03-22, 12:32 pm |
|
"Joseph" <lol@lol.com> wrote in message
news:4410a810$0$29737$4fafbaef@reader2.news.tin.it...
> It's the mind that cause venous leakage.
> I'm too skeptical about that.
> Still, he then told me to take Cialis 20 mg every 72 hours.
A word of advice, here. Run, don't walk. Any Dr. that tells you:
(1) You have venous leakage. Oh....wait a minute... no you don't.
and....
(2) Venous leakage is "all in the head".
'nuff said on that.
> What about taking 10 mg every 24 hours?
Try it and see. A lot of us do 20mg's every other day or every third day
with good results.
YMMV
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| Jerry Sturdivant wrote:
>
> Whoa! Don't get cut until you've exhausted all available options. It sounds
> like he's selling operations.
>
> Until you've tried injections therapy, you've not tried everything. See a
> urologists. Look at everything you're taking. From coffee, to coke to cold
> medicine to the rest of your diet.
>
> Jerry of ASI
>
>
>
>
>
And, whoa again. Sounds like an "unbalanced" diet. Cholesterol is a
precursor to many needed body substances (ear wax for example). Brain
function is dependent upon a wide variety of fats (polyunsat, Omega
etc.) Depriving your body of a balanced diet isn't a good deal. Best
advice on diet and supplements was from my GP, "eat normal foods and a
wide range of those." An occasional chunk of steak isn't all bad --
just trade it off with some vegetable and fish based fats.
I heartedly agree with Jerry regarding the surgery. Something to
consider when you are in your 50s. At least give diet and a drug-free
(nicotine et al) body about five years to work. Rely on PDE5
inhititors and/or Bimix/Trimix before you even consider the knife!
Intermittent ED forced me to give up nicotine at age 43. (That means
none, zero, nada etc.)
....LMac
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| Ignatz's Bricks 2006-03-22, 12:32 pm |
|
Bull! It confirmed that either you have low blood pressure or volume at
the moment you stood up, or, if you had taken Cailis, that it was working.
Jerry and LMac answered:
[vbcol=seagreen]
>
>
> At least give diet and a drug-free
> (nicotine et al) body about five years to work. Rely on PDE5
> inhititors and/or Bimix/Trimix before you even consider the knife!
>
I agree with Jerry and LMac, but would add that the "5 mcg of
alprostadil" injection your doctor gave you is extremely small. For
those who use Caverject, the normal injections range is between two and
eight times that amount. Don't rule out Caverject/Bimix/Trimix on that
one test.
Venus leakage and poor blood flow into the penis cause the same
symptoms. The latter is often reversible with moderate exercise, losing
weight (assuming you are above average) and simply better eating. A
surgery that does not work, is almost always is not reversible.
Remember, "venous leakage" is often a "catch all" when the doctor/uro
does not know the actual cause.
Ignatz's Bricks
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| Joseph 2006-03-22, 12:32 pm |
| Ignatz's Bricks wrote:
>
> Bull! It confirmed that either you have low blood pressure or volume
> at the moment you stood up, or, if you had taken Cailis, that it was
> working.
>
> Remember, "venous leakage" is often a "catch all" when the doctor/uro
> does not know the actual cause.
Anyone know how 8 cm/s is classified? Low, medium, severe leakage? Knowing
that i have venous leakage sounds like a permament sentence to me, because I
know i cannot recover. And this hurts a lot.... Before knowing this news, I
always thinked something about my hormones was bad due to steroids use 8
years ago.
But now.... venous leakage. Nothing to do to recover, only drugs to
mitigate that shit.
This means I always will depend on a pill, hoping it will work forever,
hoping I can continue to take it, hoping, hoping.... At my age (32) , with
this problem since I was 24, it hurts.......
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| Joseph wrote:
> Ignatz's Bricks wrote:
>
> Anyone know how 8 cm/s is classified? Low, medium, severe leakage? Knowing
> that i have venous leakage sounds like a permament sentence to me, because I
> know i cannot recover. And this hurts a lot.... Before knowing this news, I
> always thinked something about my hormones was bad due to steroids use 8
> years ago.
> But now.... venous leakage. Nothing to do to recover, only drugs to
> mitigate that shit.
> This means I always will depend on a pill, hoping it will work forever,
> hoping I can continue to take it, hoping, hoping.... At my age (32) , with
> this problem since I was 24, it hurts.......
>
>
Understand the pain; however, I must agree that I.B. comes in quite
right on this. Find another Uro (unless you are hung like a porn star
and your dick is pulling in three or four units of blood when it's erect.)
OK, one more time. When you turn 70 you are allowed to say, "I probably
won't recover from this." (On the other hand, I might be wrong, it might
be age 80.) Unless you have some severe degenerative disease that's
systemic in its effect, you can do a remarkable amount of body-part
makeover through exercise and diet in just five years. Seek a nice
mixture of fruit, veges, beef, fish, chicken and tofu. Get your 'T'
where it belongs and consider some Chromium Picolinate just for grins.
If you haven't read Dr. Shippen's book, get a copy and read it. If
sexual penetration is important to you, take a hard look at 'T' levels,
then undertake light aerobic training four to seven times a week
(emphasize light--by light I mean to exercise your lung capacity but
don't take it to sweaty exhaustion). And, set yourself up with a
pelvic-floor exercise program (spell that Kegel) aimed an anaerobic
development of the muscles in your crotch. You may need help with the
Kegels and the gals do them quite well. Find a nice looking lass to
coach you. New bar line, "I need assistance with my Kegels, could you
help me?" ((:-)
Give all of that that five (5) years to work before you make any further
judgments about surgery.
....LMac
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| Joseph 2006-03-22, 12:32 pm |
| LMac wrote:
> Seek a nice mixture of fruit, veges, beef, fish, chicken and tofu.
> Get your 'T' where it belongs and consider some Chromium Picolinate
> just for grins.
>
> If you haven't read Dr. Shippen's book, get a copy and read it. If
> sexual penetration is important to you, take a hard look at 'T'
> levels, then undertake light aerobic training four to seven times a
> week (emphasize light--by light I mean to exercise your lung capacity
> but don't take it to sweaty exhaustion).
I've always had a good diet. I'm absolutely not fat, but have nice body and
muscles (m 1.80 , 77 Kg). Don't drink, smoke 1-2 super lights, no drugs.
Here my lab tests tha look pretty good:
LH 2.04 mUI/ml (1.0 - 8.4)
Testosterone tot. 6.80 ng/ml (3.2-11.0)
Testosterone saliva 17.30 ng/dl (5.2-16.8)
SHBG 1.70 (1.2-4.9)
DHEA-S 87.8 mcg/dl (70-390)
Estradiol 37.3 pg/ml (10-44)
Cortisol 19.2 mcg/dl (6-30)
Cortisoluria 78.4 mcg/24h (10-63)
HDL 35 md/dl (>55)
colesterolo tot 136 mg/dl (130-200)
8 years to think problem was hormonal, before power doppler said it's venous
leakage. Like said before, i used anabolic steroids and my problem emerged
when I stop them. Who know if steroids damaged my venis? Or maybe heavy
squats and deadlifts....
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| Joseph wrote:
> LMac wrote:
>
> I've always had a good diet. I'm absolutely not fat, but have nice body and
> muscles (m 1.80 , 77 Kg). Don't drink, smoke 1-2 super lights, no drugs.
> Here my lab tests tha look pretty good:
> LH 2.04 mUI/ml (1.0 - 8.4)
> Testosterone tot. 6.80 ng/ml (3.2-11.0)
> Testosterone saliva 17.30 ng/dl (5.2-16.8)
> SHBG 1.70 (1.2-4.9)
> DHEA-S 87.8 mcg/dl (70-390)
> Estradiol 37.3 pg/ml (10-44)
> Cortisol 19.2 mcg/dl (6-30)
> Cortisoluria 78.4 mcg/24h (10-63)
> HDL 35 md/dl (>55)
> colesterolo tot 136 mg/dl (130-200)
>
> 8 years to think problem was hormonal, before power doppler said it's venous
> leakage. Like said before, i used anabolic steroids and my problem emerged
> when I stop them. Who know if steroids damaged my venis? Or maybe heavy
> squats and deadlifts....
>
>
>
>
>
Understand the tissue damage that the steroids can cause. Steroid use
also makes for being a poor surgical risk. Given time at age 32, that
risk will reduce. Not like someone in their later 30s.
Best of luck ... LMac
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