Shaeer's Vein Ligation-II: Internal Pudendal Vein Perineal Ligation For Veno Occlusive Erectile Dysfunction

The goal of this interventional study is to evaluate a new surgical technique (Shaeer's Perineal Internal Pudendal Vein Ligation (SHAEER-II)) in patients with deep system veno-occlusive erectile dysfunction (VOD) . The main question\[s\] it aims to answer are: * \[Will the patients have satisfactory rigidity after surgery\] * \[What will the Satisfaction rates be\] * \[Will there be complications\] Participants will * Undergo SHAEER-II or PPI surgery * Report the results of surgery for at least 6 months