Dr. Ralf Herwig claims that he cures Venous Leak

[gollam121]

All, Please let me know if you have not received my replies to your individual PM's? I have replied to all of you albeit some messages still appear in my inbox.

Gollam121

[Seeking]

Thanks for all this detail gollam, glad to hear things went well by the sounds of it.

Re: the mystery of the DDV leakage, that's certainly baffling. During my 5 week follow up I pressed on the issue of vein regrowth/revascularisation and the clinical opinion currently is that relapse of ligation patients happens because of the inadequacy of the initial procedure (where the location of leaks are misdiagnosed and thus are missed) and not because of vein re-growth (which was one of a number of original hypotheses), so I'm not really sure what could have happened here. Surely it would take a fairly bad surgeon to tie up a vein only for it to re-open again?

Apparently the reason that ligation surgeries are INITIALLY effectual is because you have ligated some veins, which will improve blood circulation regardless of whether those veins are leaky or not, so patients which have had their leaky veins tied and the patients who have had normal veins tied will both see some improvement. Your body then gradually resets to a new level after detecting a change in blood flow and that's when you relapse if the wrong veins have been targeted. This is what I've experienced with the sclerotherapy - I had a fortnight of being superhuman (because a huge leak had been sealed) but this then calmed down to 80% when my body found its new 'normal', but because presumably some of the correct veins have been sealed off, this new normal is 80% of my pre-ED days and not 20% like before the procedure.

C_lab, I would absolutely have your Skype conversation with Mr. Kuehhas - I was demoralised around the time of the procedure as well, but Dr. Kuehhas has given me his comprehensive opinion re: all the questions I've asked (and I've asked alot!) so I would take that opportunity to jot down anything related to ED you'd like to learn more about and discuss with him. Knowledge really is power here, and unfortunately, it's an intricate part of the body which isn't brilliantly understood.

I was informed that if relapse occurs after sclerotherapy this indicates a potential leak through the crural veins, which are the only vessels the procedure doesn't target. This is why I'm fairly desperate to get opinions from those members who have had a crural leak diagnosed and the ins and outs of how this was done.

[Oxford]

Thank you guys for the update.
Thank you C_lab34 for trying to go a little further with all your questions.
After Reading your posts I keep my self asking a lot of questions, specially because none of the guys who went to Viena had low arterial flow.
I decided to visit Dr Herwig next month, I want to here directly from him the diagnosis for a combination of low arterial flow and vein leak.

[gollam121]

If I said that yesterday was one of the worst of my life then I wouldn't be aggregating. I felt rightly or wrongly after 4 days that the operation had been a complete failure and waste of money as all I had experienced was a very weak nocturnal erection on the second night, I was also starting to think that they had botched the operation and I would be left with no function whatsoever; I was in a very dark place and with things a bit factures between me and wife of late I didn't think I could get any lower. Although she supported my decision it wasn't top of her priorities for me to get my head around but it’s hard to explain to a woman that my dick has impacted on everything not good in our lives at present.

We sat and drank red wine and had a real heart to heart which resulted in us getting a lot closer, we haven't been particularly intimate of late so it was a real surprise when things started to heat up in the sack. Obviously I'm on down time post opp but after 2 minutes of passionate kissing a miracle happened which was I got the hardest erection I have had in a long time! In fact in lasted 20 minutes with a little gentle touching from an admiring wife who can't wait for when we go to Bruges in 2 weeks’ time!

I still have some recovery to do and don’t want to rush things but last night was a real bonus. I'm not yet getting morning wood and maybe there could still some leak present or you know it’s just your body telling you you’re not better yet so pack up with frisky stuff. All the same this morning feels like a good new positive chapter and you know what after everything settles down and see a 30-40% improvement I’d be more than delighted.
The key thing to remember I was on the highest dose PD5’s to which I sometimes doubled up on so to get a strong erection like that on 5mg daily Cialis is a massive result for a near 41 year old who has never know nothing but ED all his adult life.

[Echegollen]

We sat and drank red wine and had a real heart to heart which resulted in us getting a lot closer, we haven't been particularly intimate of late so it was a real surprise when things started to heat up in the sack. Obviously I'm on down time post opp but after 2 minutes of passionate kissing a miracle happened which was I got the hardest erection I have had in a long time! In fact in lasted 20 minutes with a little gentle touching from an admiring wife who can't wait for when we go to Bruges in 2 weeks’ time!

I sincerely hope you'll get many more of those experiences. I hope whenever you are completely healed up, that you'll be able to make love to your woman like never before and that you get very close to her.

[lost41]

Hello,

New to this forum. I have been following this thread and it gives me some hope. I stupidly injured myself by doing jelqing exercises about 1.5 years ago and my life has been turned upside down. I was planning on seeing a urologist here in the States, but I might just go straight to see Dr. Herwig or Dr. Keuhhas instead because I think I have venous leak. My glans and spongiosum are super soft and the thing that kills me is that I have zero libido. I cannot maintain an erection without continuous manual stimulation. I also have highly decreased sensation in my glans and the color is pale white/light purple, which I assume is because of lack of blood flow. I can get stiff morning erections if I drink a lot of water before I go to bed, but only the cavernosum gets stiff, the glans and spongiosum is super soft. I get NO spontaneous erections whatsover. If i see a doctor in the states I think they will just prescribe me viagra/cialis or perform venous ligation surgery which from what I've researched doesn't work.

I'm concerned I have more issues so I'm debating whether to see a doctor in the States first, or if I should see Dr. Herwig/Keuhhas directly. From what I read thus far, it looks like I'm the only one with jelqing related injury in this thread so I don't know if this technique will work? Do you recommend I initially talk to and consult with Dr. Herwig or Dr. Keuhhas? I hope that both doctors are there doing the surgery regardless.....

Also, any updates from the 3-4 people that have had surgery so far? I hope there isn't relapse yet....

[Domino]

Hi first of all, please tell us exactly what happend and how it occured. From now to then, or was it a process happening?

Then: The surgery which Dr. Herwig performs (Sclero) only treats the symptoms of the venous leak, its not an "cure".
Thats why in nearly all cases, the venous leak will return. You can see the Sclerotherapy as a therapy which lasts a little bit longer as the ligation because the veins are not simply shut down. But, the idea is the same: increase the pressure in the cavernosum, less bloods flows out. I dont think any of those procedures are the right direction.
And Dr. Herwig makes a lot of money with people like you, suffering from the disease and holding on every hope they get.

Venous Leak is an inability to maintain an erection in the presence of sufficient arterial blood flow through the cavernosal arteries of the artery. The defect lies in the drainage of the cavernosal tissue of the penis, which under normal function provides high resistance to venous blood flow from the penis during an erection, thus keeping blood 'trapped' inside the spongy chambers of the penis, to maintain an erection of adequate strength for an adequate length of time. It is still disputed as to what causes the excessive 'leakiness' characteristic of the condition, however it is mostly thought that the defect is in the connective tissue of the tunica albuginea surrounding the penile veins, most importantly the Deep Dorsal Vein of the penis. Histological specimens of cavernosal tissue in patents with confirmed veno-occlusive disorder show changes in the structure of collagen and elastin making up the connective tissue of the penis, when compared to a control group. These changes may be responsible for such symtptoms.

Apparently, when the tunica looses its ability to put sufficient pressure on the veins leading out of the Penile chambers to prevent the "leakage" of blood out of the chambers an erection is lost. Could be a result of weakened tunica tissue or hardening of the vessel walls (plaque) due to cholesterol or excess blood sugar. The cure, therefor, would include procedures to repair the the tunica and or the veins leading out of the chambers. Perhaps an artificial valve in the affected area could accomplish this task.

[dg_moore]

Hi first of all, please tell us exactly what happend and how it occured. From now to then, or was it a process happening?

Then: The surgery which Dr. Herwig performs (Sclero) only treats the symptoms of the venous leak, its not an "cure".
Thats why in nearly all cases, the venous leak will return. You can see the Sclerotherapy as a therapy which lasts a little bit longer as the ligation because the veins are not simply shut down. But, the idea is the same: increase the pressure in the cavernosum, less bloods flows out. I dont think any of those procedures are the right direction.
And Dr. Herwig makes a lot of money with people like you, suffering from the disease and holding on every hope they get.

Venous Leak is an inability to maintain an erection in the presence of sufficient arterial blood flow through the cavernosal arteries of the artery. The defect lies in the drainage of the cavernosal tissue of the penis, which under normal function provides high resistance to venous blood flow from the penis during an erection, thus keeping blood 'trapped' inside the spongy chambers of the penis, to maintain an erection of adequate strength for an adequate length of time. It is still disputed as to what causes the excessive 'leakiness' characteristic of the condition, however it is mostly thought that the defect is in the connective tissue of the tunica albuginea surrounding the penile veins, most importantly the Deep Dorsal Vein of the penis. Histological specimens of cavernosal tissue in patents with confirmed veno-occlusive disorder show changes in the structure of collagen and elastin making up the connective tissue of the penis, when compared to a control group. These changes may be responsible for such symtptoms.

Apparently, when the tunica looses its ability to put sufficient pressure on the veins leading out of the Penile chambers to prevent the "leakage" of blood out of the chambers an erection is lost. Could be a result of weakened tunica tissue or hardening of the vessel walls (plaque) due to cholesterol or excess blood sugar. The cure, therefor, would include procedures to repair the the tunica and or the veins leading out of the chambers. Perhaps an artificial valve in the affected area could accomplish this task.

...or you could just get an implant and be finished with all of this.

[Oxford]

Domino thank you for your comments!

Dear razor1, Seeking and gollam121,
Did any of you ask Dr Herwig:
1) When he did his first operation?
2) According to the first question, what is his success rate during this period? I konw that some of you allready discuss the percentage, but this is base in which mid or long term?

Thanks

[gollam121]

Domino thank you for your comments!

Dear razor1, Seeking and gollam121,
Did any of you ask Dr Herwig:
1) When he did his first operation?
2) According to the first question, what is his success rate during this period? I konw that some of you allready discuss the percentage, but this is base in which mid or long term?

Thanks

Post 12 months the sucess rate was quoted at 73%, so a quarter go back to as before. Think he did his first opp 4 years ago.

I know I won't get a 100% sucess and always said before the opp I'd be happy with a 30% improvement and a better reaction to PD5 drugs to which I've been taking the highest dose Cilalis and Viagra for 4 years. My wife left the dession to me with regards to Scelrothreapy but said she didn't want me to have the implant just yet.

Look if I get an improvement albeit short / mid term then I have no regrets. Im 41 on Saturday and if I can get a couple more years with natural erections albeit supported by lower dose PD5 drugs then Great and I know I've exhusted every possible avenue before I go and get implanted.