Venous Leakage ED

ภาพรวม

A venous รั่ว — medically, veno-occlusive dysfunction — is one of the most common physical causes of erectile dysfunction. In a normal erection blood flows in through the arteries and the veins pinch shut to trap it, keeping the penis rigid. With a venous leak those veins don’t seal, so blood drains away as fast as it arrives.

The tell-tale sign is an erection that starts firm but won’t stay — often harder to hold lying down, or fading before or during sex. It’s frequently missed, because tablets like sildenafil often work poorly when the problem is a leak rather than weak inflow. The good news: it can be measured objectively, and treated at the cause.

ชมคลิป

Doppler ultrasound screening

A quick, painless scan that measures penile blood flow and detects a venous leak — and screens the prostate and for Peyronie’s plaques in the same visit.

Objective, measured diagnosis
Penile blood flow & venous รั่ว
One-visit men’s-health screen

การวินิจฉัย — อัลตราซาวด์ Doppler

We don’t guess. A penile colour Doppler ultrasound is the standard, objective test for a venous leak. After a small vasodilator injection to produce an erection, we scan the penile vessels and measure how well blood flows in (peak systolic velocity) and how much drains out (end-diastolic velocity). A persistent end-diastolic velocity above roughly 5 cm/s in the rigid phase points to a venous leak.

The same scan doubles as a men’s-health screen — checking penile blood flow, Peyronie’s plaques (scar tissue that causes curvature), venous leakage and the prostate — so you leave with a clear, complete picture from one visit.

Treatment — Bocox

For veno-occlusive ED that doesn’t respond to tablets, MENHANCE offers Bocox — a small intracavernosal injection of botulinum toxin. By relaxing the smooth กล้ามเนื้อ in the penile blood vessels it lowers vascular resistance and helps the veno-occlusive mechanism hold blood in, rather than letting it leak away.

The evidence: in randomised placebo-controlled trials and a systematic review, intracavernosal botulinum toxin significantly improved erectile-function scores and Doppler blood-flow measures in men with vascular ED, with response rates around 40–77% and a good safety profile (the main effect being mild, temporary injection-site discomfort). ผลลัพธ์ usually peak within a few weeks and are not permanent, so treatment is repeated as needed.

Bocox for veno-occlusive ED is an emerging, mechanism-based option; your doctor will walk you through the current evidence and whether it fits your scan. Exact dosing and pricing are confirmed at your consultation.

หลักฐานและแหล่งอ้างอิง

Bocox for vascular ED is an emerging, mechanism-based option. Selected peer-reviewed sources:

Randomised placebo-controlled trial of intracavernosal botulinum toxin for ED — Andrology (2021)
Systematic review of botulinum toxin in erectile dysfunction — Urology (2022)
Systematic review & update — Life, MDPI (2025)
Penile colour Doppler ultrasound in ED assessment — PubMed 33851677