I suspect VL. Even though i didn't go for the Doppler yet.

Dude, I just checked your profile and you seem to be active here since 2022. And it seems that you tried Cialis before, you are familiar with most of the stuff guys share here.
It is very strange that you are asking questions you already know the answers for.

It depends how bad your VL is. For some guys it works, but mostly for younger dudes, in their 20s, ped5 can also work for guys in their 30s, but mosly isnt that effective. In my case(33y.o.) I can get a good erection with tadalafil 5mg daily, and even better erection with 10mg, but I would lose it q...

I also live in Germany. May I ask you, has your implant and op were covered by the Krankenkasse? ( gesetzlich, privat?)
Was it difficult to prove/pursue your insurance provider that you needed an implant?