Erectile dysfunction: How embolization can get back your erection
Article supervised by Dr. Antoine Hakime, last updated on 27/12/2023.
Page summary
What is an erection medicaly speaking ?
Venous leak embolization
Benefits of Venous leak embolization
What is an erection medicaly speaking ? understand your diagnosis
Understanding how erections work is crucial to understanding ED. During sexual arousal, nerves release chemicals that increase blood flow to the penis. Blood flows into two erection chambers made of spongy muscle tissue (the corpus cavernosum), causing the penis to expand and become rigid. The erection ends when the muscles contract and the accumulated blood can flow out through the penile veins.
Venous leaks occur when the veins in the penis fail to close adequately, leading to difficulties in maintaining an erection. This issue can be due to age, underlying health conditions, or damage to the veins, and it requires targeted treatment to restore normal function.
What is Venous Leak Embolization ?
The procedure in our clinics explained
Venous leak embolization is a minimally invasive procedure designed to restore erectile function by blocking veins that prevent the penis from maintaining adequate blood flow. The key steps involved include:
Catheter Insertion and Imaging Under local anesthesia, a thin catheter is inserted, typically through a vein near the groin. Using imaging technology, the radiologist guides the catheter to the veins responsible for the venous leak, allowing for precise targeting.
Blocking the Leaking Veins Once the catheter is in place, a contrast dye is injected to visualize the blood flow. Tiny embolic agents, such as coils or particles, are then delivered through the catheter to block the leaking veins, ensuring blood remains within the erectile tissue.
Final Verification and Recovery After the embolic agents are in place, a final imaging check ensures the veins are effectively blocked. The catheter is removed, and a small bandage is applied to the entry site. The patient is usually discharged the same day and can resume normal activities within a few days.
I am interested in the treatment, what do I need to do ?
Our “One Week Program” is specially designed for international patients, allowing them to come to Paris for a streamlined, one-week medical experience. During this week, patients will receive a full consultation, undergo necessary imaging, and complete their procedure. Since this is an outpatient procedure, there’s no need for an overnight hospital stay. Patients are able to return home just 48 hours after the procedure, making the process both efficient and convenient.
You can read more about it here.

Venous Leak Embolization : post-procedure care
Recovery is relatively quick. With most patients walking immediately after the procedure and fully resuming activities within a few days. Follow-up care may include pain management and physical therapy to ensure the best outcome.
Benefits of the embolization
1. Precise targeting of the venous leaks
Venous leak embolization directly addresses the veins responsible for ED, blocking them to restore healthy blood retention in the penis. This specificity makes it highly effective for cases of venous leak-related ED.
2. Minimally invasive comfort
This non-surgical technique involves only a small catheter insertion, reducing recovery time and causing minimal discomfort compared to surgical treatments for erectile dysfunction.
3. Outpatient convenience and quick turn around
Performed on an outpatient basis, the procedure allows patients to address their ED without the need for an overnight stay, ensuring minimal disruption to daily life.
4. Low risk and long term results
Venous leak embolization is associated with a low risk of complications, making it a safe option for men of varying ages who experience ED due to venous insufficiency.
5. Scarless outcome
With only a tiny catheter incision, venous leak embolization leaves no visible scars, providing a discreet solution to ED.
6. Swift recovery and return to function
Most patients experience a quick recovery and can resume regular activities shortly after the procedure. Many report a significant improvement in erectile function, supporting both physical and emotional confidence.
7. Enhanced quality of life
By directly addressing the vascular cause of ED, embolization restores erectile function and improves intimate relationships, ultimately enhancing overall well-being and quality of life.
Symptoms and Causes of Erectile Dysfunction
Symptoms of ED primarily revolve around difficulties in achieving or sustaining an erection, as well as reduced sexual desire. Common signs include:
Trouble getting an erection: Inability to achieve an erection despite sexual arousal.
Trouble keeping an erection: An erection may be achieved but not sustained.
Reduced sexual desire: Often an accompanying symptom that affects relationships.
Erectile dysfunction can result from multiple causes, including:
Physical Causes:
Cardiovascular Disease: Blood vessel issues can restrict blood flow.
Diabetes: High blood sugar levels can damage nerves and blood vessels.
Hypertension: High blood pressure can damage blood vessels.
Obesity: Excess weight can impact blood flow and hormones.
Medications: Certain drugs can exacerbate ED.
Smoking and Alcohol: Both can impair blood flow.
Psychological Causes:
Stress, Anxiety, Depression: These mental health issues often reduce sexual function.
Relationship Issues: Communication barriers can worsen ED.
Lifestyle Factors:
Lack of Physical Activity: Sedentary habits contribute to cardiovascular issues.
Poor Diet and Sleep: Both factors can increase risk factors for ED.
Effectiveness and studies of venous Leak embolization
Effectiveness and Studies on Venous Leak Embolization
Numerous studies support the effectiveness of venous leak embolization for ED caused by blood flow issues. Online resources and medical journals discuss cases where men have experienced significant improvements in erectile function following this treatment. These studies highlight embolization as a promising solution for men with vascular-related ED, with many reporting a return to satisfying sexual activity. Regular follow-ups with healthcare providers are recommended to maintain these outcomes.
This structured approach provides a comprehensive understanding of erectile dysfunction, its causes, symptoms, and an effective treatment option for venous leaks, backed by research.
Comparing with penile venous surgery
Criteria |
Venous Leak Embolization |
Penile Venous Surgery |
Invasiveness |
Minimally invasive |
Invasive, open surgery |
Recovery |
Quick (few days), minimal discomfort |
Longer (weeks), possible scarring |
Long-term Effectiveness |
Effective, but some cases may need follow-up |
Effective but higher recurrence risk |
Risks |
Low (bruising, minor pain) |
Higher (infection, scarring, recurrence) |
Cost and Accessibility |
Generally lower and outpatient-based |
Higher costs and may require hospital stay |
Partner centers
- AMERICAN HOSPITAL OF PARIS
- IMPC – Diagnotics
- CHSF (Centre Hospitalier Sud Franicilien)
- Hôpital Privé Parly 2
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