Vacuum pumping can go a long way toward restoring a compromised penile vascular system.
With venous leakage, more blood drains out through the venous system than can be delivered in through the arterial system. You start out with a bang, usually, a good erection, but bood drains out faster than your arteries can resupply it. You need to get more blood going in than is draining out. Viagra and Cialis are both very helpful in combatting leakage. There is no evidence that shows that Viagra, for one example, loses its effeciveness over time of use UNLESS the cause of one’s erectile dysfunction worsens.
See this thread for starters.
There is, by the way, a very good test for venous leakage called a Dopler color-sonogram. Not very expensive; painless, and takes less than 20 minutes. However, once you have the test and confirm the condition, surgery is the usual suggestion. You might avoid that doing some other things. My urologist assumes I have had venous leakage for years resulting from a medication I took years ago. But no evidence of it now, he says, and probably because of all the counteractive stuff I do, including pumping.