Dr. Ralf Herwig claims that he cures Venous Leak

[merrix]

Well said.

[alibaba]

Clab24, I think you stated it very well. As a person who has tried everything for 28 years from mainstream to bizzare I agree with you. Feb 24th I get an implant. Finally. Like you say, there are many routes in and out of the penis for blood and interestingly every person has a different vein and artery structure just like fingerprints. Blood uses the most efficient route. You cut off one route, it chooses another. There are many things that control which veins swell up to let more blood in or more blood out, both chemical and neural. Without fixing the chemical and neural aspect, stopping blood flow through one route does not fix things when the same chemical or neural issue does has the same effect on the new route the blood takes to travel. You have to have blood going in and out. Putting up one road block just means it travels another road. It takes a lot of guts to go the implant route because there is no going back. Took me several years to get my head around that, but the cheap easy fixes have a finite life that only present with more issues down the road. It would take me hours to go through it all but like I said, I've tried it all. when you tie off or inject chloride salt into a vein to kill it, the blood just goes through the next route available and that vein gets bigger over time to carry the load and yes, veins will grow more veins. the issue as I see it is why do some veins/arteries open and close when others do not? It has to be chemical and neural on a cell response level or whatever gives that response signal is not working. I think the body gets tired of some of the stimuli too which is why Viagra, Cialis and Trimix take larger and larger doses over time till they quit working all together. Best wishes. d

[merrix]

Good luck in February Alibaba.
I am still planning to do it Dec 15.

[alibaba]

Thank you and good luck to you too. Man you are almost there! Awesome. Somehow the stress seems less now there is a date even if it is months off. Hope it is the same for you. d

[merrix]

It is. Taking the decision and fixing the plan always eases my mind.
I am not 100% there yet though. Still sending documents back and forth and no payment made yet. Time is short and maybe I won't be able to make it. If so, it'll happen in February for me too...

[C_lab34]

I will also offer good luck to everyone in their endeavors, whether it's sclero, implant, or something else. I am up for an implant on january 6th so it looks like we'll all be going through a major transformation around the same time. I'm also in the faxing and insurance sorting phase.

[Echegollen]

I took my decision and I'll go for sclerotherapy in January. Of course, I'll share my experience in this forum like the others before me kindly and generously did.

I also wish the best of luck to everybody in their endeavor to fight ED. We must support each other in this war.

[AVL_UK]

Hi, I've been reading this thread since I first heard about sclerotherapy and it seems to be a good place to discuss VL, even if sclero unfortunately doesn't seem to work as well as the Doctor's statistics.

I had a sexual injury about 3 years ago (the train missed the tunnel) and had a nasty bruise for a few days, didn't think much of it, but since then it hasn't been the same. The treatment I got by the NHS still makes me angry to talk about, and could be a whole thread by itself, so I'll skip that and go straight to the Bupa uro I had consultations with. He was very knowledgeable, and after an ultrasound he diagnosed me with VL and went through my options.

Incidentally, I showed him the Doctor's names that practise sclero and I had to explain to him what it was, as he'd not heard of it and his exact response was: "I've never heard of any of them, and I do a lot of travelling, doing talks on the latest techniques for ED." To be honest he seems like a very smart chap, so I'm going to take his word for it. He did say that he was going to read up on sclerotherapy though. Reading between the lines, that to me says that there needs to be a lot more research on sclero.

I was wondering if you could all help me in clarifying if we are all suffering the same symptoms when we are diagnosed as having VL. VL by definition is the veins letting more blood out than the arteries are pumping in, but that doesn't say how it effects each person? For me personally, I can get an erection with solid corpus cavernosa, but it takes way longer to get hard (a few minutes), goes down way quicker (10-20 seconds without stimulation) and is very position dependant, I find sitting down works best for me and laying on my back is the worst. How it effects me is that my glans is the problem, the glans does not retain blood at all. I can kegel it in, and on viagra the arteries are basically in a constant in flow position, but it just drains straight away again. I suppose this is the same with the CS, but it's been so long since I had a proper erection I can't remember how enlarged the CS should be.

Is this what we all have? Soft glans etc, or do some of you have problems with the corpora as well? As you can see, if I have a problem with the CS/Glans then an implant wouldn't be suitable for me as it would be replacing the bits that actually work.

Over the last 3 years I feel like I have tried EVERYTHING to repair the damage. For future reference I have tried:

Kegels - These definitely do something, they made my 'in' squeeze a lot stronger and orgasms better, but no effect on erection for me.
Reverse Kegels - These also definitely relax the pelvic floor, I believe these would be really good for people with 'hard flaccid'.
Massaging the pelvic floor - These are the same as reverse kegels in their effect and are relaxing in general. I would be happy to tell anyone what kegels/massage I have been doing if they want to pm me.
Hot and Cold treatments - Didn't do anything
The 5 G's supplements - Didn't do anything, basic premise is to relax the smooth muscle and increase testosterone, but as we're in the young guys forum, most of us would get really no results as long as our diet/exercise is half decent.
Other vitamins e.g zinc, nitric oxide enhancers, yohimbine - didn't do anything, same as above.
Viagra- Increases the 'in' flow, but doesn't help with the outflow problem. Does become slightly less effective over time, which is why I only use it rarely.
Vitaros - This is a brand name of a way of administering alprostadil down your urethra (you put a nozzle a few mm down your meatus) idea being it is absorbed and gives you an erection, with a hope it would improve things for people with glans based problems. For me this was a lot like Viagra in its effect, but less consistent. Viagra works for a few hours regardless, this, if I got distracted, I would lose the erection and have to start arousal all over again. It also has a dull ache where you administer it.
Injections - These make my corpora as hard as they ever have been, but again doesn't effect the CS/Glans drainage problem. (it may do, but only slightly, I imagine due to the corpora being bigger than normal.) It is obviously very impractical as you have to donate a couple hours at least to having an erection. I am also weary over scarring, although studies I've read don't show it to be common and do say that if you do get fibrosis from an injection point it can heal itself most of the time. I don't want to inject often as well because I don't want the effect it has to diminish, because right now this is all I have up my sleeve.
Jelqing - Does nothing - even after following a well thought out regime.
Abstinence - Did nothing for me, except make me have blue balls.
Antibiotics - I had an infection and had these and had zero effect on ED, just worth mentioning as even though I didn't expect anything to happen, if I thought of it, I'm sure others have.
Anti-inflammatories - Tried taking large doses of ibruprofen for a month, in case there was any inflammation down there, didn't do anything.
Vacuum Pumping - Haven't noticed any difference in erections, does make you feel a bit bigger though, might actually increase in size. I'm still doing it in hope that it stops atrophy from lack of blood flow.

There's probably more I'm forgetting. Personally I would ideally like to repair whatever damage was done, through natural or medicinal means. Rather than surgical. But the problem with VL is we don't know exactly what the damage is. VL is a blanket term which describes the inflow/outflow balance. It doesn't necessarily have anything to do with a vein. Like C_lab has been saying it could be a problem with the penis not expanding enough in an area to pinch off a vein, the vein itself is fine, just doing it's job. Or it could be a smooth muscle problem due to fibrosis, or a tear in the tunica which is letting blood escape. Unfortunately that doesn't help diagnose the specific problem in each of our own physiologies, unless you have a genetic problem.

It's interesting to note as well if you do have a CS/Glans problem, the tunica that surrounds the CS is only 0.5mm thick, rather than 2mm around the corpus cavernosa.

So that's all that I've tried/am trying.

Right now I'm interested to learn about anything else anyone has tried and if that everyone with VL has similar symptoms. I don't know much about fibrosis/scar tissue, tears in the tunica, smooth muscle problems, whether or not veins actually rupture and if they ever repair and whether or not it's possible that a neurological problem could effect only part of the penis, not all of it. Also I'm looking for studies of Cialis use long term, if it can help.

If any of you have information in those areas, please let me know, and I am glad to help in any way as well. Sorry for the long first post.

[ED2013]

I think we all can agree that we are lucky to have the Internet these days and lucky to have Franktalk. All of us young men who have suffered through venous leak know how badly it can literally destroy your life. I'm thankful and will always share my point of view. For me, the only cure for venous leak is an implant. I believe the choice is simple. A venous leak sufferer can either continue to live in a sexual hell, or get implanted by a top surgeon and enjoy great sex shortly thereafter.

[merrix]

Echogellen: That's a brave decision.
I will say now what I would have liked others on the forum to say to me if I was in the process of deciding whether to go on or not. I don't know you, and I don't know what you want to hear, but this is what I would have liked to hear:

Based on the 4 people here on the forum who have done it, all 4 seems to be within the claimed 40% who don't get cured. 3 of us see an improvement, and 1 even a worsening.
Chances of thaat happening, if the 60% cured ratio is correct, is 2.5%. I know the odd thing happens now and then. But I wouldn't believe in it. If I must choose between the two possible scenarios that either the 4 of us had bad luch and the FT population failed 4 out of 4 at a probability of 2.5% - or simply the chances of success is not 60% - then I choose to believe in the latter.

I haven't done much studying myself, but a lot of people on this forum apparently have. Just read recent posts in this thread. Coupling that with what Dr. Eid said to me, I just find it hard to believe that fixing a VL problem by stopping the current leakage in the veins where the leakage currently takes place is a long-term solution. It wasn't for any of the 4 of us here on FT who tried it.

That being said, If I had known back in July what I do know now, I would probably have tried it anyway. I have the money, and if against odds it would work, it'd be a complete life changer and the best ever spent money.
Even now, I don't regret doing it for a second. I had a few great weeks right after the sclero which only them made it worth it.

It also lead to another level of understanding of my problems. Since I have had this VL shit forever, I didn't really know the extent of my problems. Sure, I understood that my ability wasn't normal. But now, at 42, what is the benchmark? How is the erection quality normally for a normal 42 year old? I didn't know what 'normal' was. I don't say that I was 'normal' even right after the sclero. I still had some issues with maintaining the erection for longer time. But if using my dick right after sclero for a quickie, it was actually better than 'normal'. Why better? Well, my glans was like an apple. Full and very, very hard. Harder than normal. And that is based on two sources.
One being my wife, who had a few lovers before she met me, and she says this was the hardest glans in her experience. By far.
Second, Dr. Kuehhas told me the reason for this was that right after the sclero, when the outflow is cut off, the brain is still in VL-mode, meaning it keeps trying to compensate for the leakage by pushing 'unnatural' levels of blood in to the penis. After a few weeks, this is restored and the inflow is adapted to the lower outflow. This fits with my experience.

So, this whole thing finally led to a 100% open discussion with my wife about the full extent of my problems. In comparison to her previous experiences with other men. This is something she has refused to do before. She has only talked in general terms about it and admitted problems are there, but that is ok anyway etc, etc.
Furthermore, I am happy I did it for another reason. The main remaining benefit is the improved glans fullness and hardness. Even if it is not 100% same as right after sclero, it is still very, very good. According to wife, very good even in comparison with other men. And that is something that will benefit me hugely after I get my implant. The implant will take care of the shaft hardness, but not the glans hardness. If the sclero glans effect will last, I will have a super erection after implant.

To be even more specific about my results:
Without pills sex was absolute crap before sclero. Semi hard from the beginning, and erection fading off within a minute after penetration.
Now, without pills, it goes very hard from the beginning (as in a normal healthy erection), but still fades off. Just not as quick as before. But I will struggle to come before it goes soft. Let's say I have 2-3 minutes instead of 1... It also doesn't go completely soft and back to flaccid size. It rather goes soft but keeps the size.

With pills before the sclero, The normal outcome would be a decent shaft erection and a semi-soft head from the beginning. If used for a short foreplay and a 3 minutes good action quickie, it worked. But it was softer at the end than in the beginning, and sometimes (1-2 out of 10) I would not be able to finish.
With pills now, 4 months after sclero: half the time it will work ok. I get very hard from the beginning without any oral or hand help from my wife. I can stay hard for a a not too long session, let's say around 5 minutes or a bit more. The other half of times will be worse, about the same as I described above (before sclero).

That means that right now, I can have sex and I can have pleasure from sex.
The problems are:
I cannot be spontaneous. I need the pills. And to have 'good' sex, I am still restricted by the rules my ED sets for me. Only certain positions. Forget wife on top. Limited time for foreplay. Cannot be to soft and gentle, I need a constant certain level of 'friction'. Cannot take my time as I wish I could. The clock is ticking from the moment my dick goes hard. And I never know how much time I have.

Maybe some people would be ok with this, and prefer this over an implant. Maybe I am stupid for taking the risk with an implant when I at least have something. I know for sure there are guys who are worse off than me.
But I am tired of this. I want to be able to enjoy sex the way it is supposed to be enjoyed. And I want to be able to let my wife enjoy it as well.
Hence I am going for the implant.

Good luck Echogellen. I really hope you get better results than me.
But for your own good, I hope you keep expectations reasonable.

If you have any further questions, just PM me. If you want you can have my number or Skype, and I will be happy to let you know whatever you want to know about the procedure etc.