Question 1

should i go to ed due to arterial insufficiency or ed due to venous leak?

Accepted Answer

Both: They are separate entities and if you have them you may need to get urgent evaluation.   However, you are better off making appointment with a vascular specialist if you can wait and it is not emergent.

Question 2

what is the difference between chronic venous stasis and chronic arterial insufficiency?

Accepted Answer

Parallel systems: Diseased arteries cause PVD (peripheral vasc ds.), venous disease causes leg edema, venous discoloration and non-painful ulcers; ulcers from PVD are painful.

Question 3

please advise what is the difference between peripheral arterial "insufficiency" vs. peripheral arterial occlusive disease?

Accepted Answer

Synonyms: They're different names for the same condition.

Question 4

is it possible to take care of penile arterial insufficiency?

Accepted Answer

Perhaps: If the arteries to the penis are obstructed (by cholesterol deposits) balloon angioplasty and/or stenting can be performed to restore proper blood flow. This procedure is becoming a more common treatment for impotence.

Question 5

does arterial insufficiency cause edema like chronic venous insufficiency?

Accepted Answer

Sort of: Arterial insufficiency is not a primary cause of edema, however, patients with very severe arterial insufficiency manifesting as ischemic rest pain will often keep their feet in a dependent position (sitting). This prolonged dependency may secondarily produce edema.

David Fox, MD, FACS, RPVI

www. FoxVein.com

Question 6

can both arterial insufficiency and venous insufficiency cause a cold leg? how are the two distinguished?

Accepted Answer

No: Critical arterial insufficiency causes a cold, cyanotic, pulseless, painful leg. Venous insufficiency causes a swollen leg with dilated veins. The color can be normal or plethoric (reddish). If phlebitis is present, the leg may be painful, but uncomplicated venous insufficiency doesn't necessarily hurt. You mention knee swelling - do you have an effusion? If so, this is not vascular.

Question 7

if arterial insufficiency is questioned in relation to the fibular/peroneal artery, how should it be investigated?

Accepted Answer

Ankle-brachial index: The ankle-brachial index (ABI) result is used to predict the severity of peripheral arterial disease (PAD). A slight drop in your ABI with exercise means that you probably have PAD. This drop may be important, because PAD can be linked to a higher risk of heart attack or stroke. See your physician for discussion. http://circ.ahajournals.org/content/94/11/3026.full

Question 8

i discoveredthat my ed condition is caused by arterial insufficiency on the left side of my penis. the right side is ok. is pentoxifyline a lower cost alternative? how about shockwave treatment?

Accepted Answer

Lower than what?: Lower cost than what? Pentoxiflyline 400 mg 3X a day as a generic meds cost $120 a month and is indicated for claudication, not ED. I'm not aware that either pentoxifyline or shock wave treatment is effective. How was the diagnosis made? If you had an arteriogram, I suspect angioplasty is your best bet, but at your age, 37, I suspect either you have small vessel disease or the dx is wrong.

Question 9

which type of erectile dysfunction is worse? ed due to arterial insufficiency or ed due to venous leak?

Accepted Answer

Eh...: In the old days, the answer would be simple: arterial insufficiency, because there was no meaningful way to increase flow without penile injections, but leak could often be addressed with a penile ring. Now, both are fairly readily treatable by a competent urologist. See one to determine the causes and to what extent the various solutions can help.

Question 10

how do they test for arterial insufficiency in a leg where the calf muscle cramps or reflects oxygen insufficiency, when there is a pulse at the foot.

Accepted Answer

Ultrasound first: First, a doppler exam of your pulses is performed. There are 3 major arteries below the knee. If 1 or more are missing or of poor amplitude, an arteriogram is perfomed. Sometimes at the same sitting, a narrowed artery can be dilated.

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Doctor answers about:

Arterial insufficiency

A member asked:

Should i go to ed due to arterial insufficiency or ed due to venous leak?

A member asked:

What is the difference between chronic venous stasis and chronic arterial insufficiency?

A member asked:

Please advise what is the difference between peripheral arterial "insufficiency" vs. peripheral arterial occlusive disease?

A member asked:

Is it possible to take care of penile arterial insufficiency?

A member asked:

Does arterial insufficiency cause edema like chronic venous insufficiency?

A member asked:

Can both arterial insufficiency and venous insufficiency cause a cold leg? how are the two distinguished?

A member asked:

If arterial insufficiency is questioned in relation to the fibular/peroneal artery, how should it be investigated?

A member asked:

I discoveredthat my ed condition is caused by arterial insufficiency on the left side of my penis. the right side is ok. is pentoxifyline a lower cost alternative? how about shockwave treatment?

A member asked:

Which type of erectile dysfunction is worse? ed due to arterial insufficiency or ed due to venous leak?

A member asked:

How do they test for arterial insufficiency in a leg where the calf muscle cramps or reflects oxygen insufficiency, when there is a pulse at the foot.

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