hi guys , checkin back in into the discussion :
Well 2 Weeks ago , I had this full duplex scan , as mentioned above. "doppler sonographie" is its correct name.
What I thought it would be was : I get hard then they scan my dick and meausure blood-inflow and blood outflow.
In reality it was : They fuckin sting a needle in your dick and inject a mixture of something that makes the bloodflow visible (Kontrast mittel) and prostaglandin 20mg to make it hard.
This was , without any doubt at all the WORST PAIN I EvER FELT in my whole entire life !!! They injected it into my right chamber and for the next 20 second I was fuckin screaming and cursing in agony.
The purpose of this was to draw blood from the body into the penis , as in "natural erection"-at the same time measure the bloodflows. The only shit that happend was : my dick swell up like if something blunt violently hit it, but didn't get erect at all. (the sideffects were supposed to be : priapism for up to 6 hours an stuff like that)
Well ,
No natural erection = No way of correctly measuring the in and out flow relation = completly failed attemped at diagnosing what is wrong with my dick.
Well , actually that is a statement too. so since this failed , the doc knew something was wrong with the outflow, and from my description he knew its probably was the vein leakage or spongy tissue leakage....
The normal next investigation step is more invasive but also completely shows and finds every leak in the dick.
the method is called : CAVERNOSOGRAPHIE in german.
Google for it if you want all the details.
Short version is : they put 2 - 3 needles in your dick and then through a pump-system they artificially fill the dick with some sort of salt (saline or something) and again something to make the veins and arteries and chambers visible in x-ray. Your dick will enlarge completely, it will be x-ray scanned and each and every blood leak will be found.
Downside is : You have 2-3 needles IN YOUR FUCKIN SpONGY TISSUES all the time. It will hurt as hell, thats, what the doctor said. Also sidefeffects like scarring , severe scarring , complete inflammation of the spongy tissue with complete scarring of all tissues can develope.
I made an appointment for tuesday 19th april , wich is/was today.
So I had 2 weeks to think about my situation and the cavernosographie:
I very well understood that this Cavernosographie is the next logical step in diagnosing the exact locations of the leakage and that if I do this I have the highest chances of completely recovering.
However, like with everything in life , THE more Risk, the more you can WIN. And I sure as hell didn't want to risk , shit like scarring , or inflammation , or complete impotence just becase of the cavernosographie alone. I'm not kidding myself here...every sting in the spongy tissue leaves a scar , maybe atiny one maybe ig one , maybe it will develope to peyronies...too dangerous for me..
So I had to find a way around the standard procedere. My plan was to get the docotors and specialists to do the vein ligation surgery on all deformed veins WITHOUT the damn cavernosographie. Vein ligation is pretty damn simple and you absolutely cannot become impotant . They just fuck with the topical veins and thats it.
Of course now that the risk would be lower , my chance of completely recovering would be lower too. What if the reason for the high outflow , INDEED was the damn "spongy tissue bloodleak" then it don't matter how may veins they cut , I'll still end up where I was before. On the other hand , if the enemy really was those damn outter veins , I might be fully recovered too. If it works out , I'm fine , if not , I still can do the cavernosographie , and even if that fails i could get a damn implant (they are absolutely undetectable nowadays - of course this is the last option I would ever consider)
I guess you can understand my logic.
I wrote a long-ass letter to the specialist , describing each and every detail of my problem , and also proposing my idea of handling the problem to him.
Guess what , he wrote back and said , yeah,... lets talk again then decide if we do the cavernosographie or not.
So today we talked , and BOY AM I HAPPY AnD FULL OF HOPenis Enlargement AGAIN ! After a long talk HE AGREED to do the vein ligation surgery WITHOUT THE DAMN CAVERNOSOGRAPHIE !!!! He said , there is no risk of becoming impotant or damaging more than is damaged now AT ALL ! The only downside is that the successrate of this is exactly only 20%
for the first 2 years. Doesn't sound to promising you think ? I think its exactly 20 times better than "NO CHANCE" or "severe scarring". Over-next friday I have the appointment for the surgery and I don't even have to pay for it , insurance does so ! The doctor was very impressed with my knowledge on this matter , and he admitted that most urologists, and doctors , don't know half of the shit that I wrote to him in the letter. I guess he also had a heart for a young desperate guy like me...
OK now listen close what we both decided to do and what the surgery will be like :
He wants to make a cut at the side , above the penis , at the pubic bone. then through this opening pull up and out the "skinned" "penis base" (in other words the lower part of the penis without the skin covering it.) Then he wants to shut down and cut all the veins around the penis. The only vein left , will be the deep dorsal vein. I wondered why he wanted to leave that , he said because if the reason for your ED is a lack of blood inflow we will be able (have option) to do another surgery later : The revascularisation surgery , and we will revascularize the deep dorsal vein then. I'm like ok , if you say so...he also mentioned that the ligation of the deep dorsal vein is more dangerous than what we are planning to do , because the nerve bundles are directly right and left , next to it. So again , I'm like ok lets do the first thing and see what happens later.
Ok now I'm at home..and I'm getting second thoughts again. Its definetly good that we do the surgery, but now that hedoesn't want to cut the deep dorsal its again more variables...it could be the spongy leak and it could be a deep dorsal vein leak. I googled for similar cases and found lots of guys who have just a leak from the deep dorsal AND that was enough to render them impotent. Then they got the deep dorsal ligated and fully recovered again... I don#t know..maybe its good to cut the deep dorsal too , maybe its not , maybe its good to have this other chance of revascularizing the deep dorsal , maybe its not good ??!?
What I'm doing now is : I want to collect as many similar cases , as many information as I can , maybe talk to other specialists from other countries.. I have 10 days till the surgery and if I find something that is a significantly better idea than what we planned now , I'm sure the doctor will agree to do that, too.
Guys pls help me out. Help search for whatever information on -
-vein ligation
-deep dorsal vein ligation
-revascularization surgery
-embolization of penile veins and so on...
Just post it here in this thread and I keep checking in. Also all your thoughts and ideas on this topic are more than welcome..
moderators , pls don't move this to booboos and bandaids, let my plea get some attention , maybe someone has the right advice , the missing link ?! Its just a matter of 7 days where I could still talk to the doc and maybe make a change..then you can remove it for sh0 !
For those who are interested you can find more about my story in this thread. A guy nicknamed provider started it and I kinda hijacked myself into it...
erection problems
