Penile venous stripping- Dr Geng Long Hsu
Posted: Sat Feb 18, 2017 4:27 am
Penile venous stripping- Dr Geng Long Hsu
Patients who suffer from erectile dysfunction for at least 6 months, i.e. a dysfunction which is diagnosed as of “venogenic” origin, are good candidates for this operation. The Major investigation requires a dual pharmaco-cavernosography(Fig 1),1-8 a prostaglandin-E1 test and a thorough medical history of the patient. In our clinical experience, the majority of patients with erectile dysfunction are good candidates for surgery since they are more often than not victims of venous leakage, a fact that is commensurate with other studies in which venogenic contributor plays a predominant role in impotence,9-11 although a patient’s suitability for the surgery is, of course, carefully addressed in our practice. Patients who are vulnerable to a chronic systemic disease are advised not to undergo this operation.
Since, under this blueprint, a greater number of veins must be removed, the sites of ligation vary from 76 to 132 ligatures. Following the above procedure, the success rate of the surgery improved from 74.5% to 90.9%.13 Given these outstanding results, we are very excited about this operation. While our surgery bears the same name as the rejected procedures of the past, it is based on an entirely different method. Some may say that our claim is too good to be true, but it is in fact accurate. We reviewed the literature and noted that, since 1988, an obvious venous leakage has been consistently found to be the major cause of ED in over 90% of the impotent population. Recently, we reported a hemodynamic study on seven fresh human cadavers and found that reaching a rigid erection was, without exception, attainable after the erection-related veins were removed in all subjects despite the fact that their sinusoidal tissues were not alive.27-30 This suggests that a fully rigid erection may depend upon the drainage veins as well, rather than just the intra-cavernosal smooth muscle or fibrous tissue. We believe that penile venous stripping surgery deserves another look, and that it may be justified if and only if thoroughly and properly performed, i.e. with complete venous removal but without the expense of tissue damage. We urge any and all specialists to personally witness the operations we perform, to examine the clinical results, and to determine for themselves the validity of our claims.
There is a dogmatic conviction that recipients of penile venous surgery show early signs of improved performance but at some point experience decline that ultimately leaves their erection quality in its pre-operative state. For our surgery, on the contrary, outcomes could only be perfectly assessed 0.5-2 years after the operation as many men reported a total recovery in erectile capability 2 years after the operation. Recently a comparative anatomy study of dog and a human being was conducted and similar histology was concluded. Thus, to properly account for observed recovery times, the time for a follow-up shall be sufficiently long.14,15
http://www.glhsu.org/surgery/02venous.php
What dou you think about this surgery? Did anyone this?They claim it has a success rate of 90%
Patients who suffer from erectile dysfunction for at least 6 months, i.e. a dysfunction which is diagnosed as of “venogenic” origin, are good candidates for this operation. The Major investigation requires a dual pharmaco-cavernosography(Fig 1),1-8 a prostaglandin-E1 test and a thorough medical history of the patient. In our clinical experience, the majority of patients with erectile dysfunction are good candidates for surgery since they are more often than not victims of venous leakage, a fact that is commensurate with other studies in which venogenic contributor plays a predominant role in impotence,9-11 although a patient’s suitability for the surgery is, of course, carefully addressed in our practice. Patients who are vulnerable to a chronic systemic disease are advised not to undergo this operation.
Since, under this blueprint, a greater number of veins must be removed, the sites of ligation vary from 76 to 132 ligatures. Following the above procedure, the success rate of the surgery improved from 74.5% to 90.9%.13 Given these outstanding results, we are very excited about this operation. While our surgery bears the same name as the rejected procedures of the past, it is based on an entirely different method. Some may say that our claim is too good to be true, but it is in fact accurate. We reviewed the literature and noted that, since 1988, an obvious venous leakage has been consistently found to be the major cause of ED in over 90% of the impotent population. Recently, we reported a hemodynamic study on seven fresh human cadavers and found that reaching a rigid erection was, without exception, attainable after the erection-related veins were removed in all subjects despite the fact that their sinusoidal tissues were not alive.27-30 This suggests that a fully rigid erection may depend upon the drainage veins as well, rather than just the intra-cavernosal smooth muscle or fibrous tissue. We believe that penile venous stripping surgery deserves another look, and that it may be justified if and only if thoroughly and properly performed, i.e. with complete venous removal but without the expense of tissue damage. We urge any and all specialists to personally witness the operations we perform, to examine the clinical results, and to determine for themselves the validity of our claims.
There is a dogmatic conviction that recipients of penile venous surgery show early signs of improved performance but at some point experience decline that ultimately leaves their erection quality in its pre-operative state. For our surgery, on the contrary, outcomes could only be perfectly assessed 0.5-2 years after the operation as many men reported a total recovery in erectile capability 2 years after the operation. Recently a comparative anatomy study of dog and a human being was conducted and similar histology was concluded. Thus, to properly account for observed recovery times, the time for a follow-up shall be sufficiently long.14,15
http://www.glhsu.org/surgery/02venous.php
What dou you think about this surgery? Did anyone this?They claim it has a success rate of 90%