Dr. Ralf Herwig claims that he cures Venous Leak

[merrix]

Gollam (and others):

Did talk to the doctor over the phone.
He was, like I think he's always been, very professional.
I will see him again in December and decide which way to go.
My longshot is still that the reason why most of the sclero-effect seems gone is the elevated Estradiol.
I will see what happens when I get that down to the right level.

I am more relaxed than ever about the whole issue though since I have made my mind up that I will solve the problem one way (estradiol fix) or another (implant) within very soon.

[alibaba]

I maybe should not be on this forum because I am not young, 57, but I have followed it for a long long time. I really have concerns about you guys going this route. Schlerotherapy has been around for a long time for varicose veins and such. The body has a way of making new veins when damaged or cut. The revascularization can negate anything you do. Also, I learned a long time ago, the arteries that feed your penis and the veins that drain it are not the same in every man. They vary quite a lot. Veins and arteries have valves that keep the blood going in the right direction. If extreme care is not used they can be damaged threading the tool to scherify the position they want to dry up the vein at with electric or chemicals. Shot work, but when you read other threads such as pumping , injection and implant, there are common issues. Pain, lack of spontainous results, results that last too long or too short,and the most common is ever increasing doses till it does little good along with scaring fibrosis ( Peronies.). In some there is so much scar tissue only a skinny tube implant can be put in. As a person who has used everything suggested from pills, pumps,rings, ancient herbs, suppositories, horomones, pumps,gels, even tried a couple piercings the appalang (was so painfull when erect it came out in 2 weeks) and apadravya ( never healed in 2 years though my wife and I liked it). I can say the road only leads to one direction, and implant. Everything else has a frustration factor,and a no-longer effect period. I think back about all the money I have spent on all this, the wasted time, the times my wife got tired and started playing video games and I wish I had gotten an implant in 1997 if they made them at that time. Everything else only gives you a perk for a short while to the point you use the pump, trimix, viagra, pump some more, erection ring all in one sitting for 40 minutes trying to get a useable erection. After 1 year of having to use all of that for each attempt, we gave up trying. All the fun is worn out of you. It is like fighting with the DMV trying to get a dick to work after all this stuff. Cheers, be well, d

[C_lab34]

Thank you for your contribution to this thread, Alibaba. I know you've been through a lot so I really appreciate your perspective. I've been back and forth on trying this procedure out for awhile now. I'm thinking I can't handle the uncertainty, and what will likely be a reversion at some point. I think you are right when you say that all roads lead to an implant. That is where I'm headed and I'm trying to make peace with it.

[Echegollen]

Thank you for your contribution to this thread, Alibaba. I know you've been through a lot so I really appreciate your perspective. I've been back and forth on trying this procedure out for awhile now. I'm thinking I can't handle the uncertainty, and what will likely be a reversion at some point. I think you are right when you say that all roads lead to an implant. That is where I'm headed and I'm trying to make peace with it.

Did you get sclerotherapy?

[C_lab34]

I didn't go for the treatment. On one hand, I am aware that nothing beats a reliable natural erection, but on the other, at this point, ED has me totally mentally defeated. I just can't bring myself to fly to Europe for a risky treatment that most likely will not work, or only work temporarily. I need 100 percent assurance and improvement, and the implant is the only way. I live in D.C. so I'm in the process of scheduling surgery with Dr. Andrew Kramer in Baltimore.

[dg_moore]

I didn't go for the treatment. On one hand, I am aware that nothing beats a reliable natural erection, but on the other, at this point, ED has me totally mentally defeated. I just can't bring myself to fly to Europe for a risky treatment that most likely will not work, or only work temporarily. I need 100 percent assurance and improvement, and the implant is the only way. I live in D.C. so I'm in the process of scheduling surgery with Dr. Andrew Kramer in Baltimore.

Like my internist, an old friend, told me, "Stop all this agonizing. It's only plumbing - just get it fixed!" With that, I went off to Dr Kramer and did just that.

[alibaba]

C_lab34, I think you will be better off in the end. I have read and read on the scleotherapy for a few years plus talked to some of my doctors. It seems to me a short term fix with maybe a 30% good outcome to start and another 70% just spring a new leak. My leaks got worse over the years. Inflow got less outflow was faster. Out flow is fast enough now that I can pump it up hard and by the time I have taken off the pump and laid it down it is limp. Now that's a leak! Best of luck to you!

dg_moore, I wish a doctor would have given me that advice years ago instead of "we sell this" for that. I probably could have paid for an implant with all the $ I spent on replacing worn out pumps, buying pills, injections, supplies, bands, et cetera. Until 5-6 years ago I never new an implant existed, nor had any urologist suggested one even though all my urologists at the time were professors of urologic surgery. I was the one asking once I found out there was such a thing. Now it feels odd that the insurance company says it is covered. They never paid a cent for anything before for impotency except the doctor visits. I am starting to think they should have paid for all the pumps I wore out.

d

[dg_moore]

We tend to trust doctors too much, I think. By and large, for routine medical issues, trusting your doc is generally reasonable. But ED is a very complex problem, and anybody seeking help needs to see a urologist with expertise specifically in sexual health who can advise you on ALL options.

[merrix]

I promised an update on the effects of the sclerotherapy, and here it is.
Short recap: I did the sclero in end of july. Initial results where amazing - all aspects improved strongly. The hardest possible nightly and morning erections, spontaneous erections during day, masturbation, sex.
All was a lot better. Not only better, I'd say there was no ED. Still with a daily dose of 5 mg Cialis and 100 mg Viagra pre-sex though. However, just a few weeks later, results seemed to disappear, and basically revert to very close to pre-op.
A few weeks after the disappearance of the results, I went to my uro to take my blood tests as part of the T-therapy I've been on for >2 years. Showed very high Estradiol. This has never been the case before during the T-therapy. I got Arimidex to take it down, and I promised an update what happened with the ED when Estradiol was back in range. Haven't got it tested yet, but I can feel the difference...
Morning wood and nightly erections are right back were they were right after sclero. Strong erections with a very hard and full glans which I never (literally never) ever had in my whole life before sclero. Sex has been good the two times I've had it since I felt the effect coming bac. Still with 5 mg Cialis daily and 100 mg Viagra though. Wife confirms the hardness and fullness is back to right after sclero (which according to her is a huge difference from pre-op).
So, yesterday I did the test. Skipped the Viagra and just did on the daily 5 mg Cialis dose. And it started well. Got a rock-hard erection with very firm and full glans. However, a few minutes in to it, the erection gradually faded off and in the end I just gave up. It was a test anyway...

By the way - Kuehas also claims that the initial effect right after sclero will always to some degree reduce. He claims that after years of leakage, the brain signals forces 'unnaturally strong' inflow to compensate as much as possible of the leakage. Once the leak is fixed, the brain keeps pushing in 'too much' blood and it results in un-naturally strong erections and glans fullness. Shorty thereafter, the brain will adjust the inflow to the non-leakage state and erections will be 'normal'. I.e. better than pre-sclero, bot not as extreme as right after sclero.
I didn't buy this at first, but my wife does confirm that the erections I had right after sclero were harder and fuller than anything she ever experienced with any man before she met me.

So, where do I stand now? Hard to say. I am prepared to say that the sclero difinitely has an effect which has lasted, and maybe not even been reduced. Right now it is back to right where I was post-sclero. However, I always used pills before sclore - 95% fail without them - and it seems I still need the pills.

My question now is what I do next. Keep using pills and hope it works forever, or go for the implant anyway?
Dr Kuehas still has his theory that the reason why I lose the erection during intercourse is the curvature. It points 30-45 degrees left, and he means that every push during sex will force the penis to bend at the point of maximal curvature. This will in turn 'release' the pressure and cause leakage. He believes there is a chance all will be good if curvature is straightened.
My concern is just that it won't work. And then I have done another surgery, wasted another 4-5 months, had another disappointment. Instead of moving on and get the implant within two months and have everything fixed within three months.
However - if he is right, then I guess I'd be stupid to get an implant if there is a way to restore natural function...
Another option of course is to keep using the pills which seem to work good now.

Don't really know what to do here...

[Echegollen]

What a nice update Merrix! Thank you so much. You made my day. Personnally, I'd rather have to use pills all my life than to have an implant. Nothing beats a natural erection, period. I really love combat sports and I just don't see how I could remain so physically active with an implant. I'd always be afraid to damage the pump or something.

The results you described are amazing. If I could get the same results you got for only 1 year, I'd still go for it. I told myself I'd take my final decision about weather or not trying sclerotherapy. Right now I have to say there is a solid 80% chance I will go for it.