Were our implants unnecessary? (TLDR: NO)
Posted: Tue Nov 19, 2024 11:21 pm
Fellow guys that had/have venous leak, have y'all heard of this before? It's a surgical technique called venous leak emobilization. Apparently, it has had a 93% success rate during a study and it's minimally invasive. Too late for me, but I don't even think I heard of it while doing all my research. I'm certain none of the doctors mentioned it to me. It kinda sucks I didn't have a chance to at least give it a try, but I'm thankful for the implant that has me back functional.
In 2012, a study involving 29 patients analyzed how endovascular therapy could help men with erectile impotence caused by venous leak (1). All procedures were performed without any major or minor events (0% complication rate). The treatment was successful for 27 out of 29 patients (93.1%), with two unsuccessful procedures due to anatomical reasons. Overall clinical success was achieved in 24 out of 27 patients (88.8%), who reported that their situation had improved, with outcomes ranging from an absence of erection to a normal erection.
In 2014, a study on 18 patients evaluated the efficacy and safety of embolization to treat erectile dysfunction caused by venous leak (2). The results were positive: almost all patients reported an immediate improvement of their situation. According to follow-up data at 13 months, most participants experienced improved erections.
In 2019, a meta-analysis of 212 patients evaluated the safety and efficacy of endovascular therapy for erectile problems linked to veno-occlusive dysfunction or arterial insufficiency (3). The results showed the technical success of this therapy in 86% to 97% of cases. Regarding clinical results, around 59.5% of patients reported a partial or complete improvement of their situation. Complications were rare and minor, occurring in only 5.2% of cases.