I rarely check this forum, maybe once every sex months. But I received a PM requesting an update on this thread, and still receive quite a few asking for general assistance. So hopefully this will help.
I’m now 27, and my erections have been fine since the procedure I had @ 19. Today they’re as strong as ever. No problems at all, and I rarely think about my past. It all seems so long ago. I’ve spent the last 8 years being a normal guy. Plenty of flings, one serious relationship with a woman I almost married, and lots of great sexual experiences. Some not so great too of course, but that’s the nature of the game!
The original problem was certainly physical. I had a thick, cord like vein which could be easily felt and seen (superficial dorsal vein) that leaked blood out when I had an erection, causing them to be weak and the head to not properly fill. But, when I pressed down on it with my finger, the blood stayed in and everything was fine.
I told this to the international radiologist, and eventually I went in for surgery. Basically I was knocked out, and then given an injection that caused an erection. Somehow the doctor monitored the blood in/out flow of the vein I had pointed out. I don’t know exactly how, but he able to discern that it was not occluding as veins normally do when the penis is erect, and blood was indeed gushing out. With that he did a procedure which involved blocking off the offending vein with a coil (embolization) It was successful, and that was that.
If you think you have a similar problem, look into international radiology. When it comes to specifics, like price/logistics I have no ideas. I didn’t pay anything, which I still don’t completely understand since it was at a private hospital. The preface involved me making trips across the country, and seeing multiple urologists, taking multiple tests (doppler and caversography) without luck. Perhaps I was shown compassion. Very, very lucky. I was also lucky in the sense that I knew exactly what the problem was. Once a test was done specifically on the vein I pointed out to, the leak was confirmed. So, the doctor felt confident to operate. If you can’t find the vein yourself, it will be trickier. I’d imagine that you will have to take the aforementioned tests and get some kind of concrete result to have any chance of someone operating. But, who knows. Make your own inquiries.
Lastly - I’d had this issue since puberty. I think either I was born with it, or did it to myself from an aggressive masturbation technique when I was 9/10. But a lot of the PM’s I get seem to be from guys that have had a similar problem recently, perhaps due to PE. Be careful guys!