Venous Leak Embolization: Latest Treatment for Erectile Dysfunction

by | Feb 12, 2024

Discover how this advanced and innovative treatment option addresses the root cause by repairing venous leakage and restoring healthy blood flow for enhanced sexual function. Venous leak embolization offers hope for those seeking lasting solutions to erectile dysfunction.

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What Is Erectile Dysfunction?

Erectile dysfunction is the inability to attain an erection or maintain it during sexual activity. It mostly affects men over 40, though younger men may also experience it.

There are various types of erectile dysfunction depending on the underlying cause. These include:

  • Neurogenic erectile dysfunction
  • Vascular erectile dysfunction
  • Hormonal erectile dysfunction
  • Psychogenic erectile dysfunction


Introduction to Venous Leak Embolization

Venous leak embolization is a minimally invasive advanced endovascular intervention for venogenic erectile dysfunction, available here at Supreme Vascular and Interventional Clinic in Singapore. It is one of the latest minimally invasive treatments for erectile dysfunction. The procedure restores normal blood pressure, enabling a man to maintain a firm erection for satisfactory sexual performance.

When sexually aroused, blood flows into the penile blood vessels and remains held in the penis to maintain the erection. A venous leak is the most common form of erectile dysfunction, characterized by excessive outflow of blood through the penile veins, leading to loss of erection. Embolization involves redirecting blood flow into the penile tissue by injecting embolic agents.

Venous Leak Diagnosis

Did you know that venous leak is responsible for up to 80% of erectile dysfunction? Diagnosis for venous leaks often takes a personalized approach. Possible diagnosis methods include:

  • Physical evaluation
  • Blood tests
  • Psychological evaluation
  • Doppler ultrasound (examine blood flow in and out of the penis)
  • Cavernosography (observe venous leakage with radiographic contrast)


Venous Leak Symptoms and Causes

Common symptoms of venous leak are:

  • Inability to attain or maintain an erection
  • Shortening, narrowing, or bending of the penis
  • Decreased sensations during sexual activity
  • Soft erection inadequate for penetration
  • Absence of early morning erections

The above symptoms may originate from various causes, such as:

  • Perennial lesions
  • Vascular disease
  • Stress
  • Testosterone deficiency
  • Neuro deficiencies
  • Trauma


Venous Leak Risk Factors 

Venous leak can be psychogenic (caused by psychological factors) or triggered by an underlying condition. Some of the factors that may increase the risk of venous leak include:

  • Family history of atherosclerosis
  • Smoking
  • Anxiety
  • Neurological disorders
  • Psychological conditions
  • Diabetes
  • Certain medications (like cancer treatment)
  • Aging
  • High blood pressure
  • High cholesterol
  • Peripheral vascular disease
  • Obesity


Venous Leak Treatment

Various treatment options are available depending on the symptoms and underlying conditions. Oral medications, therapy, penile injections, surgery, and endvascular embolization are often recommended interventions.

Endovascular Embolization

Endovascular embolization (retrogate/anterograde) is a minimally invasive x-ray-guided procedure that involves inserting a slender catheter into the deep dorsal or femoral vein. Embolic agents or coils are then channeled through the catheter to seal the veins and stop blood outflow. Tiny titanium coils with embolic agents are injected through the catheter and permanently seal the affected vein(s) of the penis.

What to Expect Undergoing Venous Leak Embolization

Before the procedure, the doctor does a thorough evaluation of your medical history and then briefs you on the treatment, including pre-procedure and post-procedure requirements. During the treatment, light sedation is administered then the catheter is inserted targeting the problematic veins. Finally, the doctor injects an embolic agent to block the veins.

There are actually two categories of erectile dysfunction endovascular interventional procedures available at the Supreme Vascular and Interventional Clinic. They are day surgery procedures done under sedation with quick recovery within a day. These are both done at the same time in most patients in a single session of treatment of about 60-90 minutes.

1A: Arterial inflow procedure (angioplasty/stenting) specifically involves access using tiny 2 mm incision in the artery of the groin or wrist. Small tubes called catheters are advanced into the arteries all the way to check if there is any blockage in arterial flow to the penis. The blood flow is opened up as required using balloon dilatation or stenting of blocked arteries. Occasionally, there are arteriovenous connections called fistula seen on angiogram stealin arterial blood from the penis that can be treated at same time. The procedure has high success rate and is minimally invasive.

1B: Venous leak embolization involves direct access of one of the draining veins under the skin of penis under ultrasound guidance. The site of leak is identified in the pelvis and occluded using surgical glue or occasionally dedicated occlusive coils using the same approach. 

Since this is a minimally invasive procedure, you will be discharged on the same day and can resume normal activities quickly.

Latest and Effective ED Treatments

Research has continued to unveil new and more effective erectile dysfunction treatments. Some of the latest and future ED treatments include platelet-rich plasma, vascular stent, stem cell therapy, penile implant, and shockwave therapy.

Advances in Endovascular Procedures of Erectile Dysfunction 

Advancements in endovascular procedures have significantly impacted the effectiveness of ED treatments. Such developments include the use of stents and flow diversion devices.

Advantages of Venous Leak Embolization vs. Invasive Surgery

Venus leak embolization has multiple advantages over invasive surgery. It offers minimal pain and discomfort under light sedation. The procedure also takes less time, and the patient can be discharged on the same day. Embolization also, unlike surgery, leaves no scars.

Need to Undergo Venous Leak Embolization Procedure in Singapore? 

Venous leak embolization is a quick, relatively pain-free, and minimally invasive procedure you can undergo and be discharged on the same day. If you have been experiencing erectile dysfunction, we invite you to visit us at our specialized erectile dysfunction clinic for evaluation and further treatment. Fill in the contact form to arrange an appointment with Dr. Manish Taneja.

Erectile Dysfunction Treatment Options

Learn more the signs, causes, and available treatments for Erectile Dysfunction that is right for you in this extensive guide.

Consult an Erectile Dysfunction Specialist in Singapore


Dr. Manish Taneja, a certified vascular and erectile dysfunction specialist in Singapore, has extensive experience in the treatment of all endovascular interventional procedures and looks after male health including varicocele, erectile dysfunction (ED), and benign prostate hyperplasia. Come in for a further evaluation and contact us to arrange your erectile dysfunction appointment today.

Dr. Manish Taneja performing surgery

Other Male Health Conditions

The Supreme Vascular and Interventional Clinic is your “go-to” facility for various conditions and treatments. To arrange an appointment with Dr. Manish Taneja, our erectile dysfunction specialist, contact us. You can also call us at (+65) 6904 8084 for a consultation.