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Xialla, other rings, and ED meds.

Pills treat inflow. Rings treat outflow. Only Xialla’s patented anchor keeps the ring at the base during sex, so occlusion can hold without crushing tightness.

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

What the anchor adds

Further effects of the same rearward hold. Physiological Effects

Effect Xialla Other rings ED meds
Skin tension Stretch-sensitive nerves Yes No No
Girth and firmness Fuller erection Yes Varies No
Glans exposure Uncircumcised men Yes No No
Skin slack Direct contact Yes No No
Testicular ascent Scrotal support Yes No No
Appearance Shaft exposure Yes No No
Ejaculatory sensation After prostate surgery Yes No No

Comparisons refer to conventional constriction rings as a category and to oral PDE5 inhibitors. Effects listed under Physiological Effects follow from Xialla's design; with the exception of blood retention and erectile function, they have not been measured in published studies.

Why urologists use it

  • Used and recommended by urologists in our partner program, including at UC Irvine and Princess Margaret Hospital.
  • Evaluated in clinical studies — improved erectile function in 14 of 21 patients, and treatment salvage in 6 of 11 men with veno-occlusive dysfunction.
  • Published in the International Journal of Impotence Research, in a perspective article on treating ED caused by venous leak.
  • Patented anchoring design holds the ring in position during intercourse, so it maintains occlusion without the tightness a conventional ring requires.
  • Several further physiological effects follow from the same design. Read about them.