Dr. Ralf Herwig claims that he cures Venous Leak

[tarzee27]

Hi Echegollen,

I am sorry to hear things did not go the way you wanted them to. In terms of sclerotherapy, has your condition got worse or stayed the same as before sclerotherapy? In particular have you lost any sensation or feeling? That is something that worries me about any kind of surgery, is that nerves may be damaged. My question also applies to any others who had sclero done, as It would be worrying if it actually made things worse in any way. I would hope that worst case scenario is that the procedure doesn't work and things stay the same as before. What would be worrying is if sclero had the potential to make matters worse, ie nerve damage

Thanks Echegollen

[Echegollen]

Hi Tarzee,

Sorry for the late update. I had been very busy at work...

To answer your question, no I haven't lost any sensation on my penis. When I get an erection, I still have the exact same sensation. One thing that I was worried about is the scar sclero left on my penis. Although it is only about 1'' long, I really didnt like its look. Fortunately, the scar is already turning to white and is far from being that eye catching.

Now performance wise, I am afraid I stayed the same. I am currently on cialis 5mg and ''tried'' to have sex last week and I lost my erection 20 seconds later and never got it back fully. It would come back to about 60% erect but not more which is not enough to have intercourse. Having this said, keep in mind it was my first attempt and I suspect I also have a mental blockage. I mean I have been suffering from ED all my life so my conscious and subconscious mind probably see sex more as a threat than an enjoyable experience. This week I will give it another try. The good news is that I am now with a lady that I trust 100% so it should be easier to stay calm and not worry so much about performing.

I was thinking of popping a 100mg Viagra pill on top of my Cialis 5mg. I know lots of people had success using that combination so I decided to give it a shot. Combining 5mg Cialis with injection (Caverject) would probably give me a porn star performance... But I'll wait a little more that one!

I'll post an update in 1 week on how it went with my lady.

[marcvanstrom]

@tarzee37 I have a long experience with dr herwig. Initially i was suspicious of him , because most urologists condemned this kind of treatment. It was after i meat a renowned neurologist that told me i should go for it and that this was the normal proçedure back in the days when there was no viagra etc. that i finally agreed to his surgery. I definitly didnt get worse, no it got better and that is why i m considering doing it again. I didnt heed the docs advise and was on the road to quick instead of staying bedbound for at least 2 weeks which might have caused my lesser outcome. I cant speak for everyone in my case i started having problems after an unrelated surgery around my testicle. So the outcome might be different for someone who has organic reasons etc. So what we can do here is share our experiences, give honest account and use this knowledge for the better.

[tarzee27]

Thanks guys (Echegollen and Marcvanstrom)

You guys are very helpful posting your experiences here, as at least to me this helps a lot, as I would love to hear any feed back on this procedure, as I deal with my own ed, which has been a struggle for years.

Has sclerotherapy caused any loss in length or girth?
Has sclerotherapy caused any build up of scar tissue in the penis?

This applies to Echegollen and Marcvanstrom, and any others who have had sclero done.

You guys really have been helpful, as without this forum I would have never known about this treatment. Whether or not it is a successful treatment is not the point. Just being aware of it and gaining any insight on it is invaluable to me. As I was saying previously, at the very worse case scenario this things should stay exactly the same as prior. It is good to know that this procedure has not made any one worse, as that would be a huge red flag in my book. If this procedure has any risks of making things worse then I would not even consider it.

[merrix]

I have been describing my sclero outcome thoroughly earlier on in this thread.
I got a clear improvement but not a cure.
I didn't lose any sensation.
Length or girth doesn't change. They inject an agent in the veins, length and girth will not change.
They claim worst case is just it doesn't work. I am not so sure about that.
I think one risk is that the reduced outflow makes the body self regulate the inflow. This could over a longer time period lead to tissue atrophy.
I still say there is a reason only one clinic in the world uses this particular method to try to treat VL. Consensus is that a VL cannot be surgically fixed. Are these two guys two geniuses knowing something nobody else in the world knows? Or do they use either experimental surgery or simply a method known not to produce long term sustainable results, which they make good profit from till either proven not working or dangerous?
I don't know. But it's up to each and everyone to decide what to believe, what sounds more probable.

[marcvanstrom]

Hi all ! Including tjwarren2 tarzee27
First of all since we are all anonymous behind our email , i think if possible posting on the message board is better than personal messages , so all can gain some knowledge.

As in merrix case I as well didnt notice any deterioration only an improvement. BUT I cannot vouch for ANYBODY since our starting point might differ. My problems stem from a different surgery on my waist and scrotum area , maybe nerves or vital tissue was severed. I dont know .... all i know is to maḱe the best out of it. What i like in Herwigs procedure is they dont go ín there with a knife so to speak. They glue up things which doesnt seem so crucial , BUT im not a doctor.
I made a mistake and didnt wait out the 2 weeks after the surgery , so i my case it could be that substance applied couldnt fully do its job. What i know is that nothing got worse, things got a bit better. Since i m having these problems for like nearly 6 years now I cant really say how much it has improved, but if i could choose i wouldnt want to be pre this surgery state. Anatomically i didnt shrink and etc. I will take Dr Herwigs advise and try a combination of ed pills and herbal pills for some while. Dr Herwig assumes that my muscles have to gain strength and that i should train them. If that doesnt work i will contemplate another surgery and this time wait out the whole 2 week rest.
I understand your concerns , since this is a very delicate topic and any worsening of the situation could be crucial and there are so many opinions out there. Mind you i myself waited for around 1 to 2 years before i went for it. I heard plenty of docs devalute this procedure and was sceptic. It is only after a highly renowned neurologist examined the nerves around my penis and scrotch told me the results that i went for it. He told me due to my first surgery that some nerve parts conduct slighty slower, but not crucial enough to cause my ailment. And after mentioning herwigs procedure he that renowned neurologist told me i should go for it and that he remembers back in his days before viagra and such, that was a common procedure. So thats what gave me enough confidence to do it.

As we know the costs are high, it might work more or less for each of us , but in my case it didnt worsen my condition wether feeling or size wise. I get erections hold them longer it seems than before and then either loose them or stay semi rigid.Waking up plenty times i have a boner not 90 degree as it used to be but around 45 degrees.Im in my mid thirties and very sportiv.

The reason why i m giving so much info is because i think we are all affected. We spend a lot of money, nerves and efforts. Maybe proper and shared info might help in decisions or might gain us new knowledge
Btw if there is someone who has fully recovered id like to hear from you.

[AVL_UK]

I think one risk is that the reduced outflow makes the body self regulate the inflow. This could over a longer time period lead to tissue atrophy.
I still say there is a reason only one clinic in the world uses this particular method to try to treat VL. Consensus is that a VL cannot be surgically fixed. Are these two guys two geniuses knowing something nobody else in the world knows? Or do they use either experimental surgery or simply a method known not to produce long term sustainable results, which they make good profit from till either proven not working or dangerous?
I don't know. But it's up to each and everyone to decide what to believe, what sounds more probable.

I think this is important and shouldn't be slept on.

If there is even a 10% chance of there being long term side effects then I would not do sclero. Given the results of the members of this board it is looking more likely that we can all confirm that this isn't worth doing now. Given any possible unknown risks without any real gain. It does speak volumes that there is only 1 place in the world doing this. If it worked, everyone would be doing it.

Back to the drawing board. I really urge people to research their pelvic floor muscles, as even if it isn't the cause of ED, it really can help if you can learn to relax the correct muscles down there. Which in turn may help you modify the way you have sex to have more successful sex and help keep you relaxed mentally as well.

[tarzee27]

Thanks Marcvanstrom,It is really good that you want to help a lot of people at Franktalk by sharing your experiences.

These next questions goes out to you and anyone else who have had sclero.

With Merrix and AVL_UK's point on the glans dying/tissue atrophy due to the possible decreased inflow, has this been the case with you?
Have you seen any signs that your glans has lost any sensation or seems lifeless or won't engorge fully? I am guessing that those could be signs of tissue atrophy but I am no doctor.
Last question sorry, Does your glans stay full/firm/red with erection? I know that with this procedure, they shut down the deep dorsal vein, which is where the blood from the glans drains into. Thus in theory the glans should feel firmer/fuller/redder when aroused/erect, due to the decreased outflow,as blood can not leave through deep dorsal vein.
In my mind if you have this effect of an improved glans, and without any side effects/glans dying/tissue atrophy, then that sounds like a pretty successful outcome, although it wasn't a complete improvement, at least you did not get any worse than prior to sclero.
Thanks man

[Echegollen]

Taree, my glans hasn't lost any sensation and my glans stay full-firm-red with erection.

Marcvanstrom, thanks for sharing your experience with us. May I ask you when you've had sclerotherapy exactly? Also, was Dr. Herwig able to confirm through the Doppler test that you had a venous leak?

I had sex with my woman last week. Throughout the day, I had several erections so I was expecting good performance from my penis during the evening with my woman. When I started making out with my woman in the evening, I had a solid erection. Then we got naked and went on her bed. When I got on top of her, I completely lost my erection and it just wouldn't come back. Fortunately, this woman has a really good attitude and didn't get stopped by this. She started to suck me despite having a limp dick. Again, the erection wouldn't come back. Then, at one point I started to ''face f_ _ _ _'' her and this really turned me on. I got another solid erection. This time I really didn't want to lose it so I made sure I'd cum within the next 1-2 minutes and I did. Now I know this might not have been the smartest thing to do since the goal is to see if I can keep my erection. However, I wanted to make sure my brain could record somewhat of a half successful experience to gain confidence. One thing is for sure, there is definitely a mental aspect in my problem. Why is it that I got several erections during the day and suddenly when I'm with my woman my penis completely shuts down?

I'll do some other testing this Wednesday and I'll keep you guys posted.

[PFracture]

Looking keen on that update Echegollen! good luck!