Penile venous stripping- Dr Geng Long Hsu

[moreorless]

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%

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Here people talked about it
http://www.altpenis.com/forums/ubbthrea ... 200&page=7

[gollam121]

No, again its isolated surgery offered by one doctor. I looked into this six years ago and know it's a brutal opp, you are basically laying there for up to 12 hours under local anisetic I read whilst every vein is striped in your penis. Why because at this duration at small clinic they can regulate knocking you totally because of the dangerous quantity they would have to administer!

I read a few blogs of guys who had this and it appeared hit and miss whilst if I remember right it's costs more than 3x what Scrothreapy does. In fact not much less than an implant.

Sorry to be a pessimist but I've can tell you first hand these procedures fail more than succeed.

I you are really bad PLEASE stop wasting time on these bullshit procedures and get an implant because at least there proven world wide.

I'm not at all having a go at you but it's becoming frustrating seeing doctors making money out of desperate men like us.

God speed and research proven procedures

Regards
Gollam121

[gollam121]

Too add, I remember being quoted £9k for this. Whilst 12 hours awake on the operating table didn't have much appeal! Spend and put yourself through this for say at best a short / mid term improvement you may as well have implant surgery NOW and be done with it.

I'm serious its bloody mental all of it and would NEVER be offered in the UK or US!!

This is my obsessive point across all these threads. PLEASE DO NOT keep churning up stuff that's been pedled for years like Scerothreapy and vein stripping.

Remember all the worlds top urologists and Andrologists talk and work on study papers because it's their duty and professional code to keep learning and advancing. The likes of Hsu and Herwig are total privateers, if their procedure works for the odd lucky man then great. If not then well I told you the odds so what about I now quote you for my implant skills !!!

If you can't listen to a man like me who unfortunately is now very wise after the event then who can you listen too??

Moreorless - You are very young and from what you have said your ED is very bad. PLEASE stay strong and find a good urologist who will listen, DON'T take any crap and demand your sexual health to be restored. Take the right action now to save your sanity and from seeking out magic solutions that Don't exist.

Go into the Coloplast web site and view Colin Longren's implant video. He was posting on here as Minosotta about 5/6 years ago and was implanted at 19 or 20 because of a severe venous leak. The guy is an inspiration and I cheekily looked him up on LinkedIn. He's very successful and a handsome young man who choose very early in his life to take ACTION and not be a victim. I maybe just under twice his age but he remains an inspiration.

Say like I've too that today is the day I move forward and take control. It's not easy my friend but it's the ONLY way to get through this.

Good luck
Gollam121

[moreorless]

Thanks gollam
I just posted this here to see people's opinion about this, and if there was anyone who had gone through it and gave their opinion
My problem is that at 23, it scares me like hell, I do not know if I will be able to take the step to go for the implant at this age, I am truly afraid that something will go wrong
I would like to be like you and those guys, i would like to be braver but I am not
I do not usually get lucky

[gollam121]

Thanks gollam
I just posted this here to see people's opinion about this, and if there was anyone who had gone through it and gave their opinion
My problem is that at 23, it scares me like hell, I do not know if I will be able to take the step to go for the implant at this age, I am truly afraid that something will go wrong
I would like to be like you and those guys, i would like to be braver but I am not
I do not usually get lucky

Hi Moreorless,

Vein stripping is even more drastic than Scerothreapy, very expensive and very, very painful according to the threads I've read. If it didn't work you'd be thousands of pounds/ euros / dollars worse off and then begging for an implant. I haven't been that lucky having Scerothreapy. It's been a shit experience, however maybe my ED was getting gradually worse so I would have lived longer in sadness, who knows.

Don't be scared just do what's best for you.

Regards
Gollam121

In an ideal world we wouldn't have ED,

[lenders]

I just read that forum and it is interesting, I can read people who before the operation cant work with pills and after they can work without pills.
I can read people who dont improve so much too
For what I read those cases that had more success are those that had the condition of soft glans and venous leak ( The soft glans was cured in all)

I think this is an operation to considerer before the implant, the worst in this surgery is that the operation lasts for hours with local anesthesia althought I read you can choose general anesthesia but It is more expensive so.

[jelquinginjury]

I just read that forum and it is interesting, I can read people who before the operation cant work with pills and after they can work without pills.
I can read people who dont improve so much too
For what I read those cases that had more success are those that had the condition of soft glans and venous leak ( The soft glans was cured in all)

I think this is an operation to considerer before the implant, the worst in this surgery is that the operation lasts for hours with local anesthesia althought I read you can choose general anesthesia but It is more expensive so.

Are you thinking to go for that surgery?

[lenders]

I am not sure. For the moment I will try other things
But if nothing works, I will try it surely,yes

[PFracture]

There is a huge thread online, like 100 pages long on Ed-forum about this surgery, and the success rate is almost 0. I even know of a guy that did it, and talked to him. Spend your money on the implant, and forget this.