Is surgical treatment for venous leakage only effective in the short term?

Patient's question:

Detailed medical condition and consultation purpose:
Detailed medical condition: Erectile dysfunction, inability to achieve an erection, loss of libido, small testicles, facial swelling, perineal fullness, persistent heat and moisture in the anal area, very poor mental state, always feeling lethargic. Also, low immunity.
Consultation purpose: Is the recurrence rate of venous leak-type erectile dysfunction gradually increasing over time with surgical treatment? The effectiveness rate is 85% at 1 year but drops to 35% at 3 years. Is simple venous ligation only effective in the short term? Are most patients with venous leak-type erectile dysfunction essentially sentenced to a hopeless condition, with no chance of recovery...?

Doctor's answer:

Hello: If it is drug treatment, then it can only alleviate symptoms but cannot cure the condition. It is best to undergo surgical treatment. Penile venous leak is a condition where damage or cracks in the corpora cavernosa of the penis cause blood to leak from the cavernosa into the glans or other blood vessels during erection. When the venous system of the corpora cavernosa is abnormal, the intracavernous pressure fails to reach 80 mmHg, or the venous system cannot effectively close, leading to an inability to effectively reduce venous during erection. A significant amount of blood leaks from the veins, preventing the penis from achieving normal or sufficient erection.
The primary method involves ligating the veins to block the venous from the corpora cavernosa, thereby achieving effective penile erection.

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