Diagnosis of the Venous Leak
If you are suffering from Venous Leak and decide to surf the Internet for information about the possible solutions to this pathology, it will most likely result in a bittersweet feeling. True as it may be, it has never really been easy to treat.
The main reason for this has been the diagnostic system which until now (though still in use at other centers), wasn’t effective in identifying the exact blood vessels affected before possible surgical intervention. However, this trend has changed remarkably in recent years in our practice to the extent that we have recorded an increase of more than 60% in successful surgeries just in the last few months.
During the first consultations, the Doppler ultrasound serves as a simple and affordable tool used in immediately assessing for the possibility of this condition.
The real problem is usually in the next phase which involves specific identification of the affected vessels. The formerly used Cavernosography (two-dimensional image) and Cavernosometry (blood pressure measurement) fail to provide the required level of detail with a 2D image. Today, our advanced diagnostic technique has proven to be a lot more effective: it is multi-detector CT angiography with 3D reconstruction, which enables easy identification of the specific veins that require ligation.
Thanks to this new three-dimensional CT that we have been using for months in our consultations in our clinics of Madrid, Seville or Canary Islands, the surgeries we finally approve are those with a high probability of success. However, within a few seconds of reviewing the results of the Helical CT of certain profiles, we contemplate over recommending penile prosthesis as the best solution, because the surgery might not be safe or present with low chances of success. This helps us offer the best solutions to our patients for their particular cases.
Approximately, 30% of people can benefit from surgery, either to completely solve the pathology or to delay the arrival of the penile prosthesis while helping them maintain their erections. We have seen quite severe damages caused by the aforementioned dangerous jelqing techniques. Damages that were irreparable in the operating room even when the patient was young.