Inflow therapies fill.
They do not close the veins that empty the erection. If the leak is the issue, more inflow is only half a treatment.

An anchored silicone ring for venous leak, the outflow problem that pills, injections and pumps don’t treat. One kit, $50, sixty days to decide.
Pills, injections and pumps fill the penis. In many men the erection still fades because blood leaves as quickly as it arrives. That is venous leak. Xialla was built for that gap.
They do not close the veins that empty the erection. If the leak is the issue, more inflow is only half a treatment.
A loose ring does nothing. A tight one is uncomfortable, and still slides during sex, so the leak returns.
A scrotal loop and a band attached to an adhesive pad on the lower back hold the ring at the base. Traction, not crushing tightness.
Soft, stretchy medical-grade silicone with a silky finish. Start with or without an erection.
The loop is what a plain ring is missing. It gives the device a second anchor point so it cannot ride forward.
Gentle rearward traction holds the ring at the base for as long as it is worn. Less tight than a conventional ring, so it is more comfortable.
Use Xialla alone or with
Size. Size guide. Regular, Slender, or Thicker. Fits most men. Not sure? Choose Regular.
Xialla is designed for men of any medical profile who experience ED due to venous leak. It does not change anatomy, and the effect lasts only while it is worn.
“Finally there’s a real breakthrough for the treatment of ED caused by venous leak.”Faysal A. Yafi, MD, FRCSC
“Xialla is a major step forward in the treatment of erectile dysfunction.”Dean Elterman, MD, MSc, FRCSC
Evaluation of a novel medical device for improving erectile function across ED etiologies. Improved erectile function in 14 of 21 patients. J Sex Med 2017
Salvage of post-prostatectomy injection therapy failures. Treatment salvage in 6 of 11 men with veno-occlusive dysfunction. J Sex Med 2017
Xialla: a novel medical device for erectile dysfunction associated with veno-occlusive dysfunction. International Journal of Impotence Research, 2023
Small studies, not randomized trials. Xialla is not a treatment for the underlying causes of ED. Anyone with a cardiovascular condition, a bleeding disorder, reduced penile sensation, or who takes anticoagulants should speak to a clinician before using a constriction device.
| Feature | Xialla | Other rings | ED meds |
|---|---|---|---|
| Acts on venous leak (blood outflow) | Yes | Yes | No |
| Stays in position during intercourse | Yes | Varies | – |
| Effective without high compression | Yes | No | – |
| Applied flaccid or erect | Yes | Varies | – |
| Combines with other treatments | Yes | Varies | Yes |
| Published clinical evaluation | Yes | Varies | Yes |
| Patented anchoring design | Yes | No | – |
| Urologist-endorsed | Yes | Varies | Yes |
Comparisons refer to conventional constriction rings as a category and to oral PDE5 inhibitors.
4.6 / 5 · 645 reviews on Trustpilot
Our lovemaking has gone from one time a month to several times a week.
And the customer service left me extremely impressed.
Xialla is a Godsend. I truly thank Nigel for inventing this.
Excellent customer service. I had an issue and it was immediately resolved. The product works better than I expected.
Great product and the customer service is excellent. The orders are shipped quickly.
Nigel Shaw, MBA. Founder, CEO and Inventor.
Venous leak is when the valves in the penile veins fail to keep blood inside the erection, causing it to soften or disappear even though blood is still flowing in.
A published evaluation reported improved erectile function in 14 of 21 men with moderate to severe ED. A second reported treatment salvage in 6 of 11 men after prostatectomy. These are small studies, not randomized trials.
Yes. Unlike a regular ring, Xialla can go on erect or flaccid. It helps both achieve and maintain an erection.
Regular, Slender, or Thicker, by girth. Most men start with Regular. Size changes are free at the support page.
Yes. Use it alone, or with ED medication, injections, a pump, shockwave, or an implant.
The kit is $50, with free shipping in the US and Canada. Orders leave Ottawa and Michigan, usually the next business day. If it does not help, you get $50 back. No return required.
Ships next business day from Ottawa and Michigan. Free shipping, US and Canada.