QUESTION: Can you have VL and still be happy? I havent seen any examples, have you?


I have no idea what "VL" is.  Please clarify.

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QUESTION: Venous leak


We don't typically abbreviate venous leak to VL so I didn't recognize it and there was no context.

Anyway, most patients with venous leak are treatable and as long as their response is adequate, the typically are satisfied.  Each case is handled differently depending on the degree of problem and responsiveness to therapy.

There is alot of anxiety and hysteria about venous leak when the reality is that it is one of several causes of erectile difficulties.  Since none are typically curable in the conventional sense, it makes little difference if a patient actually has venous leak or one of the other problems.  All that matters is the severity of the problem and the individual responsiveness of that patient to treatment.

---------- FOLLOW-UP ----------

QUESTION: Every story I read just depresses me, I've been trying to find some where people aren't totally depressed. Have any of your patients been able to maintain their mindset?


I see plenty of patients with ED from various reasons and we can satisfy most as far as erection rigidity goes.  Some of them are depressed and sad for reasons having nothing to do with ED.  Others are unhappy that their treatments for erections are too expensive, take too long to work, etc.  But most are reasonably satisfied with the results of therapy.

Being "happy" is a mental issue, not a physical one.  


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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