Partial Erection problem

[Matty25]

I am 25 years old and in good physical health. In the past 5 months, anytime I get an erection, it is not at full strength but maybe 70%. As it comes, it starts out okay but in less than a minutes time it starts to fade. When I am on my back is when it is the most difficult to maintain it. In trying to keep it up, I will contract my muscles in the pelvic region and it feels like it gives it a little more power.

Question 1)
Is this damaging to those muscles and to the vascular system, and does it cause venous leak?

I had visited a specialist in Erectile Disfunction about 4 months ago and they conducted a doppler ultrasound after running a low dose of prostaglandin. They said that the blood flow was normal and ruled the condition as phsycological ED.

Question 2)
Wouldn't a doppler ultra sound detect a venous leak?

They suggested I order a supply of Prostaglandin to use before sex to boost my confidence and then I would no longer need it.
However I could not afford it, so they suggested Cialis-It did not work. I had heard that testosterone could play a part in ED so I had it checked and found it to be a normal high. I then consulted a Urologist and he has scheduled me for another doppler in spite of the fact that I took one 4 months ago and he says he is 90% sure it is venous leak, and that there is only a 10% chance that it would be phsycological. He also said that if I was not fully erect after a low dose of prostaglandin then something physical was to blame, not phsycological.

Question 3)
If this is a venous leak, what can be done to fix it?

[Cheka_92585]

You might try a **** ring to see if it will stop or slow the leak.

[BonzoDog]

OK, I see this question was all the way back in 2006, which is now 15 years ago! But in case the original 'asker' (Matty25) never got an answer, or is still dealing with this issue, or if others reading it are curious to know, here's my response:

Your symptoms do sound exactly like venous leak to me. There are 2 major elements to erections - blood flow IN, and trapping the flow in the penis so it doesn't flow back OUT. One of the characteristics of venous leak is the ability get an erection (full or partial) that can't be maintained - the blood flows IN, but then starts flowing out. It's like trying to fill a bucket w/ a hole in the bottom - you may be able to fill it partially, but at a certain point, water is flowing back out as fast as it's coming in, and the bucket never fills completely. I agree w/ what the 2nd Uro said - this was more likely venous leak, NOT Psychological. An injection of Prostaglandin or Tri-Mix would cause an erection regardless of mental state, as long as the physical part was working. Another curious thing is, no one seems to be exactly sure why venous leak develops - we know the 'veno-occlusive' mechanism that traps blood in the penis & enables a firm & lasting erection is not working as it should, but apparently we don't know exactly why, or how it developed in the 1st place. I think there are some theories about it, not sure if any have proven to be conclusive...

As to the 2nd Q - unfortunately, up to this point, there's not a whole lot that can be done to fix venous leak. I think there may have been some experimental surgeries that seemed to help SOME guys, but not all, and even the ones it helped didn't necessarily get a permanent 'cure'. We can only hope that somewhere down the road (hopefully in time to help!) there'll be some new surgical technique or drug therapy that would fix this issue...