Erectile dysfunction (ED) affects many men, who, with increased awaren
ess of more effective and less invasive treatments, are seeking the he
lp of a urologist. ED can diminish a man's self-esteem and overall sen
se of well-being, and chronic ED can strain a relationship, often resu
lting in frustration for both partners. Vascular disease is thought to
be the most common of the many factors causing ED: arterial or venous
abnormalities, or both, are implicated, and current diagnostic evalua
tion can often differentiate between the two. Historically, abnormalit
ies in the venous drainage system (venous leak syndrome) have been tre
ated with selective surgical procedures, but generally with disappoint
ing long-term results. Advances in nonsurgical approaches have increas
ed treatment options for venous leak syndrome. This article reviews av
ailable treatment options and describes an innovative constriction ban
d that is fully adjustable, comfortable, and easy to use by the patien
t.