Venogenic Erectile Dysfunction (Type 2) Surgery

Venous Leak Treatment: Understanding Venous Stripping Surgery for Type 2 ED

Welcome to another informative video by Dr. Vijayant Govinda Gupta, India’s leading urologist and men's health expert. In this video, we explore the complex condition of venous leak, its impact on erectile dysfunction (Type 2 ED), and the role of venous stripping surgery as a treatment option.

Video Highlights

00:00 - Video Summary
00:32 - Introduction: What is Venous Leak?
00:46 - Symptoms and Causes of Venous Leak
01:19 - Treatment Options and Surgical Process
02:52 - Benefits and Complications of Venous Stripping Surgery
03:51 - Conclusion
04:20 - Outro

What is Venous Leak?

Venous leak is a condition where the veins in the penis fail to retain blood, leading to the inability to maintain a firm erection. Although blood flow to the penis is normal, faulty valves in the veins cause blood to flow back, resulting in a loss of hardness.

This condition has been extensively studied in the medical literature. For more information, see:

Goldstein I, et al. Understanding venous leak and its role in erectile dysfunction. PubMed. Available at: https://pubmed.ncbi.nlm.nih.gov/28224308/.


Treatment Options

Dr. Gupta discusses three primary approaches for managing venous leak:

Medications and PRP Therapy: Non-surgical methods for improving blood retention.

Kegel Exercises and Stop Master Techniques: To strengthen pelvic muscles.

Venous Stripping Surgery: A surgical option for cases where other treatments fail.


What is Venous Stripping Surgery?

Venous stripping is a surgical procedure where specific veins responsible for the leak, such as dorsal or emissary veins, are identified and repaired. The surgery involves:

1. Injecting dye into the penis to locate leaking veins.


2. Repairing or tying off the leaking veins to prevent blood loss.


3. Allowing the penis to retain blood for a longer duration, improving erection quality.



For surgical techniques and efficacy, refer to:

Shindel AW, et al. Efficacy of venous surgery for erectile dysfunction. PubMed. Available at: https://pubmed.ncbi.nlm.nih.gov/20881218/.


Success Rate and Considerations

Success Rate: Approximately 70% of patients experience temporary relief.

Recurrence: In some cases, the issue may return after 2-3 years.

Best Candidates: Patients with Type 2 ED looking for a temporary solution or those who want to avoid penile implants.


Benefits and Limitations

Benefits:

Temporary relief for 3-4 years in suitable patients.

Some patients remain symptom-free for 7-8 years.
Limitations:

Not a permanent solution.

Surgery may not work for everyone (failure rate of 10-50%).


For long-term outcomes, see:

Chung E, et al. Long-term outcomes of venous leak surgery. PubMed. Available at: https://pubmed.ncbi.nlm.nih.gov/33067445/.


About Dr. Vijayant Govinda Gupta

Dr. Gupta is an expert in men's health and urological surgeries, with extensive experience in treating erectile dysfunction through advanced surgical and non-surgical methods.

If you are struggling with venous leak or Type 2 ED, this video provides valuable insights into venous stripping surgery as a viable option.


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Keywords:
Venous Leak, Venous Stripping Surgery, Erectile Dysfunction Treatment, Type 2 ED, PRP Therapy, Kegel Exercises, Penile Surgery, Dr. Vijayant Govinda Gupta


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Contact Us:
Visit us at Govinda MediCare Center, New Delhi
Website: drvijayantgovinda.com

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