What is it about?

this article is a report card on Dr. Hsu’s specific surgery. It looks at the actual results of patients who had the "Refined Penile Venous Stripping" procedure to see if it worked long-term. It answers the skeptical question of whether fixing veins is a real, viable solution for ED in actual clinical practice.

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Why is it important?

It proves skepticism wrong: Many doctors think venous surgery doesn't work because old methods failed in the 80s and 90s. This paper shows Dr. Hsu's new, refined method does work. It validates the "Third Option": It gives solid evidence that there is a legitimate surgical choice between taking pills for the rest of your life and getting a penile implant. It establishes standards: It defines what a "successful" surgery looks like using standard medical scores (like IIEF-5), making it easier for other doctors to understand the results.

Perspectives

The Skeptic's Conversion Perspective (Doctors): "We used to think venous leak surgery was a dead end. This data forces a re-evaluation. The 'refined' anatomy makes the difference." The "Stuck Patient" Perspective: "I thought my only options were pills that failed or a bionic pump. This study proves there is a middle ground that actually works." The Evidence-Based Perspective: "Moving beyond theories and cadavers. This is about real men getting real function back in the clinic."

Professor Geng-Long Hsu
Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology

Read the Original

This page is a summary of: Clinical Experience of a Refined Penile Venous Stripping Surgery Procedure for Patients With Erectile Dysfunction: Is It a Viable Option?, Journal of Andrology, November 2009, Wiley,
DOI: 10.2164/jandrol.109.008532.
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