The blood supply of the penis comes
from a main blood vessel that goes down the back of the body called the
aorta. The aorta then branches to an internal and external iliac artery,
and finally a pudendal artery passes underneath the pelvic bone and
terminates in the common penile artery. When sitting and especially when
riding a bicycle, a man can cut off blood circulation to this common
penile artery. When this artery is damaged, arterial insufficiency and
subsequent erectile dysfunction occur. A cavernosal artery supplies
blood into each of the erectile bodies of the penis.
The blood supply to the glans, or head, of the penis is part of a
separate system. It is for this reason that men can achieve an erection
without swollen glans, such as in conditions known as priapism. This is
also true for men who have penile implants; the glans or head of the
penis will not become enlarged.
The underlying mechanism of an erection is the corporo-veno-occlusive
mechanism. When the veins cannot become compressed or blocked, an
erection cannot be maintained. Without this very sensitive mechanism,
blood leaks prematurely from the penis and produces the loss of an
erection. This type of erectile dysfunction is called a venous leak.














