静脉渗漏:引起男性勃起功能障碍的难治病因  

亚历克斯医生(Alex Shteynshlyuger MD)

治疗勃起功能障碍方面, 纽约泌尿专家中心(New York Urology Specialists) 领先一步。 更好的科学意味着更好的护理。   


如果您有任何问题, 需 预约咨询,请 联系我们或 致电/短信: 1-646-663-5211

我们有来自患者及其伴侣的一致好评。 州外及国际患者信息咨询。 查看我们的办公时间或诊室路线。 

我们的价格合理,无论您是否有保险。 我们为患者提供实惠的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。


静脉渗漏导致男性难以获得和维持勃起

什么是静脉渗漏(Venous Leak)或静脉闭塞不全(Veno-Occlusive strong Insufficiency)

勃起是由阴茎充血引起的。  降低阴茎血流出量可以使勃起得以维持。 维持勃起的机制组织血液从阴茎流出, 称为“海绵体闭合”机制,涉及胶原纤维、平滑肌细胞和其他支撑结构。

静脉渗漏(Venous Leak)指阴茎海绵体闭合机制失效,不能阻止血液流出阴茎体。 

海绵体-静脉闭合类(Corporo-venous occlusive)勃起功能障碍,或静脉闭塞(veno-occlusive)障碍可能是由这些原因引起的:白膜退化、年龄增长引起的胶原纤维成分改变、佩罗尼氏病糖尿病阴茎骨折。  

平滑肌含量下降也可能会导致静脉渗漏。弹性纤维数量减少胶原沉淀增加被认为是引起静脉渗漏的主要原因。   平滑肌减少可能会造成ED。 外伤也可能会诱发静脉分流,损伤阴茎的静脉闭合机制。 这种情况也被称为“器质性ED”,因为是由阴茎海绵体勃起机制造成的不能维持勃起。

静脉渗漏性勃起功能障碍的症状有哪些?

静脉渗漏,或静脉闭塞不全可能会造成男性轻微、中等后严重的勃起功能障碍。 当静脉渗漏较轻微时,通常是无症状的,只要血流入量良好,就可不受影响。

静脉渗漏引起的勃起功能障碍最常见的症状勃起不能维持,使用伟哥(Viagra)或希爱力(Cialis)等药物之后只有充血但不能勃起。 没有静脉渗漏,但有动脉功能不全(arterial insufficiency)的男性也会有相似的症状

如何诊断静脉渗漏?

当患者可以获得勃起,但很快疲软时,考虑有静脉渗漏。 当使用伟哥(Viagra)或希爱力(Cialis)等药物无效时,则也考虑静脉闭塞不全。

通过阴茎多普勒超声,配合海绵体内注射前列腺素或3P 混合剂Trimix,可确诊海绵体-静脉闭合类勃起功能障碍。 阴茎多普勒超声可检查舒张末期血流速度,静脉渗漏患者的指标通常高于5 mL/s。 正常EDV(舒张末期血流速度)是小于5的。 

不过也需要知道,严重的焦虑可能会产生错误的结果。 同样,使用的前列腺素或3P 混合剂Trimix 剂量不对也会表现出静脉闭塞不全的结果,实际问题可能是动脉功能不足或两种问题同时存在。 当不确定诊断结果时,建议使用更高剂量的3P 混合剂Trimix 或SuperTrimix。

修复静脉渗漏的治疗方法有哪些?

静脉闭塞障碍是最难治疗的问题之一。  对于轻微静脉渗漏的患者,伟哥(Viagra)或希爱力(Cialis)等药物可能会有效。  使用 阴茎环可能会增加男性勃起的时间。  有些男性 使用真空勃起装置阴茎注射剂,配合阴茎环可获得成功的效果。

对于由静脉闭塞不全或动静脉闭塞不全引起的中等或严重的勃起功能障碍最有效的治疗方法是阴茎假体手术。 

可膨胀性阴茎假体,如AMS-700和 康乐保Titan OTR 阴茎假体可帮助有严重静脉渗漏的男性重获性活跃的能力。 对于中等-严重 静脉渗漏和血管性勃起功能障碍的患者,即便伟哥(Viagra)或希爱力(Cialis)等药物无效,阴茎假体依旧可提供极佳的效果。 

对于静脉渗漏或血管性原因ED 无效的治疗方法

对于静脉渗漏或静脉闭塞不全原因引起的ED,有些治疗方法是不管用的。 了解这点很重要。 同样,如果是由多种血管性原因引起的,如血管功能不足、血流量低(动脉血流量不足)、不能阻止血流出(静脉渗漏)等原因结合,引起的勃起功能障碍会更严重。  很多男性在尝试了很多ED 治疗方法无效后找到我们。 很多男性寻求过昂贵却无效的ED 治疗方法,比如注射血浆和血小板。

以下方法对于有中等甚至重度静脉渗漏或血管功能不足的男性来说无效:

网上经销商出售的药物,如伟哥或希爱力 (GetRoman等出售),通常对于有静脉功能不足勃起功能障碍的男性无效。 3P 混合剂Trimix,由波士顿医疗(Boston Medical)或纽约泌尿专家中心(New York Urology Specialists)提供,通常只能达到40%-60%的半勃起硬度,不足以进行性交。

ED 冲击波疗法对中等-严重静脉渗漏的男性通常没有显著效果。 同样,对于静脉闭塞不全、动脉功能不全或静脉渗漏的患者,注射血小板没有好处

静脉渗漏可以通过手术修复吗?

临床已尝试通过手术治疗静脉闭塞不全。 目前不推荐手术,因为1-2年长期成功率较低,并且大多数患者需要额外的治疗。

在纽约市哪里可以治疗ED?

在纽约泌尿专家中心(New York Urology Specialists),我们为男性提供专业的ED 治疗。 您可当天预约就诊。

今天致电/短信: 1-646-663-5211或  在线   预约。  

我们治疗性问题和勃起问题, 提供全面的性病(STD)检查。 我们治疗男性阴茎问题,包括包茎、龟头炎、阴茎刺激和发红。 我们提供无刀输精管切除术,输精管切除术逆转手术,包皮环切术包皮切除修复和阴茎系带成形术。 我们提供保密会诊。

我们治疗ED 的价格合理,无论您是否有保险。 我们为患者提供价格低廉的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。 我们免费提供保险核验

查看纽约泌尿专家中心(New York Urology Specialists)男性患者接受ED治疗的真实案例。

我们为患者提供ED 治疗,附近患者可开车直达我们的诊室,其他州及国外的患者也可方便接受治疗。  我们的患者来自纽约、新泽西、宾夕法尼亚和康涅狄格州,以及全球30多个国家。

阴茎问题长什么样?

您可以在我们的图库中找到阴茎问题的图片,包括治疗前后的对比图。

您需要知道的:

为什么选择纽约泌尿专家中心(New York Urology Specialists)治疗勃起功能障碍?

  • 所有 治疗由认证泌尿科专家进行。我们的泌尿科专家经验丰富,擅长使用药物疗法、微创疗法、激光和手术治疗男性ED、早泄、和其他性问题。
  • 我们是纽约地区为数不多可为男性提供性疾病和勃起问题全面诊疗的机构。
  • 我们在诊室提供诊断检测,避免医院的高花费。
  • 丰富的经验:我们使用药物治疗、ED 冲击波疗法、阴茎注射3P混合剂(Trimix)和阴茎假体植入手术等方式,成功治疗了成千上万男性患者。
  • 我们提供保密和贴心关怀的服务。 我们明白大部分患者希望保护隐私。  我们接诊各类患有泌尿系统疾病的患者。 我们会对您的来访目的完全保密。
  • 我们是纽约地区为数不多可为男性提供性疾病和勃起问题全面诊疗的机构
  • 我们的诊室交通便利,对于曼哈顿、布鲁克林、皇后区、斯塔顿岛、韦斯特切斯特、长岛、布朗克斯和新泽西寻求ED治疗的男性,仅需30-60分钟往返时间

预约纽约泌尿专家中心(New York Urology Specialists)进行ED 治疗


如果您有任何问题, 需 预约咨询,请 联系我们或 致电/短信: 1-646-663-5211

我们有来自患者及其伴侣的一致好评。 州外及国际患者信息咨询。 查看我们的办公时间或诊室路线。 

我们的价格合理,无论您是否有保险。 我们为患者提供实惠的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。

我们提供工作日、周末和晚间办公时间。

亚历克斯医生(Dr. Alex Shteynshlyuger)是 行业认证的泌尿科医师, 专注于男性性问题护理的所有方面,包括ED、早泄和其他性问题。  他成功治疗了数百名男性患者的性问题,包括勃起障碍(ED)和性冷淡。


Patients Reviews

Overall Rating:

5

 
Total Ratings

5

Total Reviews

68

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

Urology by Alan on Jul 04, 2022Dr. Alex and all members of his staff are very attentive and professional. They are always willing to adjust to patient requests regarding scheduling and time. I’ve never had a negative experience when visiting the office and would highly recommend Dr. Alex and staff!

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Circumcision and vasectomy by Hector Nieves on Feb 22, 2022Todo muy bien con el personal, la cirugia, el seguimiento, etc. Lo unico que podria decir un poquito negativo es el tiempo de espera despues de la hora de la cita fue bastante, pero con relacion a todo lo demas es excelente.

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Review by Armando Santos on Dec 16, 2021Great experience

best urology doctor by Winston – via Healthgrades.com on Feb 14, 2021Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.

solved my problem with ED by via HealthGrades.com on Jan 29, 2021Dr. Shteynshlyuger helped to solve my problem with ED

100% perfect circumcision by via HealthGrades.com on Jan 21, 2021Dr. Shteynshlyuger did what I would call an 100% perfect circumcision on me. I can’t even find my scar. He cut the precise right amount of skin. I now feel extremely happy, confident, and proud of how it looks. I am 100% satisfied with my results and I would recommend him to any guy seeking an adult circumcision. I healed in 5.5 weeks but his recommendation is 6 weeks to heal so that means zero “activity” for 6 weeks to avoid damaging the stitching. The surgical glue I pulled off at 5.5 weeks. It is important to not remove it before! The lower posterior of my shaft did not look good at first, especially w/ the surgical glue on it, but over weeks it looked better and better w/ the final results by 5.5-6 weeks being excellent When the doctor injected the anesthetic, it was painful since he must inject it deep ~6-8times. During the surgery my discomfort was maybe a 1/10, so tolerable. Make sure to buy lots of bandages/gauze before/after for daily change for 5-6 weeks

What went well

Appointment scheduling Office environment Staff friendliness Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions

What could be improved

Long wait times 

Very Pleased by A. Pereira via Vitals.com on Jan 21, 2021Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S

THEY TREAT YOU LIKE FAMILY by Luis via Google.com on Jan 11, 2021THEY TAKE GOOD CARE OF YOU AND THEY TREAT YOU LIKE FAMILY AND LOOK OUT FOR YOU

treatment from New York Urology by Anthony via Healthgrades.com on Jan 07, 2021My problem with ED is gone with my treatment from New York Urology!

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions

What could be improved

 

recommend Dr. Shteynshlyuger by via HealthGrades.com on Jan 04, 2021Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.

finally able to enjoy life again by Josh via Google.com on Dec 16, 2020Dr. Alex absolutely changed my life and restored my faith in doctors. When my condition first started I saw four different urologists over a period of about 6 months. All four either laughed me out of their office saying there’s nothing they could do to help, that my pain was normal, or prescribed me something that did not help or made everything worse. I prepared to live my life (22 years old now) with chronic pain that made participating in every day activities extremely difficult. Finally after getting the courage to start looking for new doctors again I found Dr. Alex Shteynshlyuger and decided to give his office a call. I proceeded to see him shortly after my call, and now a few visits and months later I am finally able to enjoy life again. Dr. Alex took the time to do the tests that other doctors did not even mention. He took different approaches, gave well explained answers to all of my questions, and made me feel like there are some doctors who really do care. On top of all of that he has some of the most helpful and kind staff I have come across. I cannot stress enough how thankful I am for Dr. Alex!

No pain at all by Elson via Google.com on Nov 25, 2020This was a very fast and easy process. No pain at all and the job was very well done. He stays on top of your progress and helps to heal faster. I will definitely recommend Dr Alex at all times!!!

Great place by Yannis via Google.com on Nov 09, 2020Very friendly staff, A great experience from the front desk to seeing the doctor. Dr.Shteynshlyuger is very professional and makes you comfortable when you’re in the room. He answers every question with detail. Great place..

I would highly recommend it to anyone by Javier – Via Google.com on Oct 11, 2020I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don’t regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.

highly qualified diagnostician by Vladimir via Google.com on Sep 23, 2020I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception.

successful procedure by Grant via Google.com on Aug 20, 2020To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure. I’d refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care.

I am very happy with this doctor. by Maria via Google.com on Aug 12, 2020I am very happy with this doctor. He is very patient and he understood all my problems. He also answered my questions and gave me some good advice.

very friendly staff by via HealthGrades.com on Apr 12, 2020excellent doctor and all very friendly staff

2 years free of any UTI by Lucretia via Vitals.com on Apr 09, 2020This urologist has helped me for my constant UTI’s He gave me a few tests, diagnosed the problem and now I’m 2 years free if any UTI. A kind, intelligent, caring doctor LucretiaLaMura

Doctor Shteynshlyuger provided me with the care I needed by Christopher via Google.com on Mar 11, 2020The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.

Patient review by Jose A La Luz on Jan 24, 2020 

Buen doctor by Marcos perez on Jan 14, 2020Muy buen doctor. Y sobre todo el personal muy amable se preocupan por uno buen servicio

Thank you for your hlep by Ron on Dec 10, 2019Amazing doctor and staff. Thank you!

Shang Ring circumcision by via HealthGrades.com on Oct 29, 2019Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful. He performed a Shang Ring circumcision for me and the procedure went well. I’m pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I’d recommend him. The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months.

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions

What could be improved

 

Thank you doc !!! by via HealthGrades.com on Aug 14, 2019Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Great location and affordable prices. Thank you doc !!!

What went well

Appointment scheduling Office environment Staff friendliness Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions 

Office very convenient location by via HealthGrades.com on Aug 13, 2019Office very convenient location Don’t have to wait for long Staff very friendly Dr shteynshyuer very experienced I had my serviced done in 3 visits now I feel good now Than you Dr. shteynhlyuger

positive experience by via HealthGrades.com on Aug 09, 2019Dr. Shteynshlyuger is professional, knowledgeable, and experienced. I had a positive experience with him.

Peronis Disease by Robert Clarke on Aug 04, 2019Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.

Review by Jim on Jul 26, 2019The staff are very friendly and efficient. Appointment ease is excellent. Dr. S. is terrific diagnostician, answers your questions quickly tries to assess how you are doing and focus on the purpose(s) of our visit Treatment alternatives are discussed . The longer you are a patient, the better the experience is.

3P Removal by Karl Henry on Jul 24, 2019Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.

Recommendation by JOHN on Jul 18, 2019Therefore I would like to recommend you to anyone who need your services.

Urology Visit by Oliver on Jul 18, 2019Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Outstanding by Allan B. on Jul 09, 2019Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

Dr. Alex Shteynshlyuger MD
33 W 46th St 5TH FL, New York, NY
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2 months ago
I’VE BEEN SEEING SEVERAL OTHER DOCTORS FOR THE LAST 12 YEARS AND ALL OF THEIR RESOLUTIONS TO MY AILMENT WAS TO GIVE ME MEDICATION. DR. SHTEYNSHLYUGER TOOK STEPS A – Z TO ADDRESS THE CAUSE OF THE AILMENT ON TOP OF GIVING GOOD ADVICE (DIET, LOSING WEIGHT) TO ASSIST. THE STAFF MAKE YOU FEEL COMFORTABLE ABOUT DISCUSSING YOUR AILMENT WHICH IN OTHER TIMES YOU WOULD BE EMBARRASSED TO DISCUSS TO A STRANGER. HE MAKES SURE THAT WHEN YOU WALK OUT OF THAT OFFICE, THAT YOUR CONFIDENT AND ON YOUR WAY TO A BETTER QUALITY OF LIFE.
 

男性ED 几乎都是可以治疗的

在纽约泌尿专家中心(New York Urology Specialists),我们的泌尿科医生在评估和治疗勃起功能障碍方面受过专门训练。 我们了解ED 如何影响患者的关系和自尊。  我们帮助您找到适合您需求、生活方式和偏好的勃起功能障碍治疗方案。

泌尿科医生专门治疗男性勃起功能障碍。 凭借我们的经验和技术,我们可以为几乎所有男性提供有效的ED 治疗方案。  我们提供药物和手术治疗勃起功能障碍。

我们处理一些最复杂的ED 问题,包括:

预约亚历克斯医生(Dr. Shteynshlyuger):

今天致电/短信:1-646-663-5211 或  在线   预约

亚历克斯医生(Dr. Alex Shteynshlyuger)是行业认证的泌尿科医师,擅长使用先进有效循证方案治疗男性性问题和勃起问题。 我们提供可膨胀性阴茎假体植入手术、冲击波疗法治疗勃起功能障碍和佩罗尼氏病。

他在纽约地区备受业内顶尖的外科医师推崇。 如您或身边的朋友有泌尿问题困扰,请预约 亚历克斯医生(Dr. Shteynshlyuger)咨询他的专业意见。 请随时 联系我们 咨询任何问题。


如果您有任何问题, 需 预约咨询,请 联系我们或 致电/短信: 1-646-663-5211

我们有来自患者及其伴侣的一致好评。 州外及国际患者信息咨询。 查看我们的办公时间或诊室路线。 

我们的价格合理,无论您是否有保险。 我们为患者提供实惠的伟哥(西地那非,Viagra)和希爱力(他达拉非,Cialis)。

我们提供工作日、周末和晚间办公时间。

 

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