Geng-Long Hsu, M.D.
Owner of Hsu`s Andrology
Director, Microsurgical Potency Reconstruction and Research Center
- Department of Industrial Management,
National Cheng-Kung University,
September 1973 - June 1978
- Department of Medicine,
National Taiwan University,
September 1978 - June 1985
- Urological Department, Post-doctoral Research Fellow, University of California, San Francisco,
June 1991 - April 1992
Prizes and Awards
- ISIR (International Society of Impotence Research.) Jean-Paul Ginestie Prize&Herbert Newman Prize (null was cited), V World Meeting on Impotence, September 13-18, 1992 Milano, Italy. [The three dimensional structure of the human tunica albuginea at an anatomical and ultrastructural level.]
- ASA Lalor International Travel Award, 2005, Seattle, Washington, USA
- Award for basic research of Taiwan Andrology Association, 2005.
- Award for clinical application of Taiwan Andrology Association, 2007.
- CURy (The 3rd World Congress on Controversies in Urology) Best Abstract Award, Second prize, in Athens, Greece, February 25-28, 2010 [Penile veins are the Determining Contributor for Erection: The Hemodynamic Evidence from the Study in Defrosted Human Cadavers.].
- Best poster prize, the 18th annual meeting (2012) and 34th general scientific meeting, Taiwan Urological Association, Taipei, Taiwan.
- Second prize of Video urology, the 18th annual meeting (2012) and 34th general scientific meeting, Taiwan Urological Association, Taipei, Taiwan.
- ISSM (The International Society of Sexual Medicine): Zorgniotti Newman Prize, 22nd World Meeting on Sexual Medicine, November 19-21, 2021 Virtual. [The Penile Fibro-vascular Assembly is the last Remaining Independent Vascular Compartment to be elucidated in the Human Body].
- Taiwan Urological Association
- Taiwan Andrology Association
- Taiwan Medical Association
- International Society of Sexual and Impotence Research
- American Society of Andrology
View Dr. Hsu's CV
we have more than 30 years of experience
Erectile dysfunction (ED) is found in all societies and affects millions of men throughout the world. Clinical breakthroughs in urological medicine—such as the introduction of phosphodiesterase-5 inhibitors, including sildenafil (Viagra), tadalafil (Cialis) and vardenafil (Levitra)—undoubtedly helped a significant number of these men; for many patients, unfortunately, ED persists even with the use of these drugs. A universal solution to ED remains out of reach. Nevertheless, we state categorically that the most viable solution for a majority of ED patients is available in the form of microsurgeries. They are both examinable and reproducible, although the methods are admittedly challenging.
As a case in point, we have developed and performed over 3,000 cases of penile venous stripping surgery since June 1986—both with and without venous grafting for morphologic correction—under local anesthesia and on a true outpatient basis, without exception. In fact, we are able to complete this operation in less than 6 hours. Both penile prosthesis implants (which we have performed on 201 patients) and curvature correction procedures (which we have performed on 736 patients) can be completed in a similar time frame. As a result, patients are able to receive treatment on impotence and enjoy sightseeing during the same period.
Our efficiency in treating ED using microsurgery is matched by efficacy; fellow urologists may be surprised by this claim given the checkered history of penile venous stripping surgery. The first reported instance of penile venous surgery took place over a century ago. Wooten first published “Ligation of the deep dorsal vein for atonic impotence” in the Texas Medical Journal in 1902. Early successes were met with an optimism that gradually diminished in light of the limited durability of the outcomes. Indeed, continued disappointment in the results of such procedures culminated in the 1996 ruling by the clinical guidelines panel of the American Urological Association (AUA) that venous and arterial surgeries for the purpose of treating erectile dysfunction are not justified in routine use. As such, these procedures have been almost entirely abandoned by the majority of the medical community.
Undaunted, and supported by recent advancements in research on penile hemodynamics and anatomy, we continued exploring and refining techniques in penile venous stripping surgery; after repeated microsurgical training exercises (conducted on small rats and on cadavers), we developed a surgery in which neither a Bovie nor a suction apparatus is necessary. With our unique methods, we have achieved a 90.9% success rate in dramatically improving the erectile function of our patients. We are confident that our success is reproducible, and we request that any physician interested in this field take the time to thoroughly research this procedure and exhort the urological community as a whole to accept venous surgery as a viable, long-term solution for patients suffering from ED.
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