What is it about?
this article is about performing specialized surgery to fix a previous venous leak operation that failed. It explains that operating a second time is much harder because of scar tissue from the first surgery. It likely details Dr. Hsu's method for finding the veins that were missed the first time around and successfully tying them off to finally restore erections.
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Why is it important?
It defines the top tier of expertise: Any surgeon can try a primary repair. Only a master surgeon can successfully salvage a failed one. It validates the theory: It argues that when venous surgery fails, it’s usually because the surgeon missed veins, not because "venous leak isn't real." Fixing the missed veins proves the theory holds true. It offers an alternative to implants: It gives patients with failed prior surgeries one last chance at natural function before resorting to prosthetics.
Perspectives
The "Detective" Perspective (Surgeon): "Why did the first surgery fail? Finding the 'missed clues' (veins) hidden in the scar tissue." The Patient Perspective: "From despair to relief." The emotional journey of thinking you were unfixable after a failed surgery, and finding a solution. The Technical Perspective: "Navigating the minefield." The sheer surgical skill required to dissect scarred tissue without damaging nerves or arteries.
Professor Geng-Long Hsu
Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology
Read the Original
This page is a summary of: Salvaging Penile Venous Stripping Surgery, Journal of Andrology, September 2009, Wiley,
DOI: 10.2164/jandrol.109.008409.
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