I’ve been asked by one of the active participants in this thread to make some comments. Like Marinera, I have not read the whole thing. I have read the beginning pages and the ending ones, up to this point.
First, I can’t identify with “firm flaccid,” except as a transient condition caused by cold or hard exercise or life stress. Under these conditions, I get a “firm flaccid.” I have venous leakage and yet I don’t get a “firm flaccid” except in these cases.
There has been a lot of talk in this thread about “valves” in veins. It needs to be understood that veins in the penis are not like veins in an arm or a leg where valves open and partially close repeatedly to keep blood in these extremities from pooling.
Erections do not occur because of little gates suddenly closing. Rather they occur from the accumulation of increased arterial blood flow which expands the CCs causing erectile tissue to _compress_ the interior veins such that less blood is flowing out than is flowing in. This process, during an erection, is never complete except in the case of a priapism. There continues to be some venous blood draining out so that newly oxygenated arterial blood can continue to flow in during the time the erection is maintained, even one that goes on for an hour or two, if one is so lucky. :)
When you are completely flaccid, even with a “firm flaccid” - which seems here to be described as being as turtled as you can get, there is continuous arterial flow in and continuous venous flow out, otherwise our cocks would become necrotic, turn black, and fall off.
There are a whole lot of causes of ED and I have never seen “firm flaccid” listed as one of them. It may be a symptom of something else happening, but it is certainly not a cause of ED.
If one has ED these days, he has to be proactive if he wants to find out the reason for it. Because we have usually effective drugs now (Viagra, Levitra, Cialis, the injectibles), urologists tend to treat symptoms - with the drugs. They tell you they don’t know what’s going on but that this or that will help; they hand you an Rx and pat you on the back. Or they tell you it’s in your head, and surprisingly often, it is, and I’m not saying you guys have psychological ED.
In spite of the fairly good distance between our cocks and our brains, we are all very susceptible to ED because of our reactions to many kinds of stresses. If your partner comments that you have a little cock compared with someone else she/he was with, probably you will wilt. If you worry you won’t get hard when you need to, you won’t get hard because you involuntarily flood your reproductive system with adrenalin just from worrying. I’m sure all of us can make a very long list of psychological freaks outs. :)
In finding a really good urologist, you have to look for a good detective; one with a special interest, and training, in ED. This may take some detective work on your side. Call their offices; ask if Dr. Knowitall has a special interest in ED and is he prepared to do various tests to determine the cause. And, when you go to him, let him know that - while you may want a crutch - you also need very much to understand why you need one.
I hope this helps some.