I always think it is good to show skeptisism to everything, it makes topics less one sided. It is important to note that all venous leak surgery has the habit of only correcting the venous leak for a short time (6 months maximum for 90% of surgery recipiants) I know that personally if I had a "minor" leak, I would never get surgery. I'd imagine that most logical people wouldnt undergo surgery with a minor leak as well, not worth the trouble/money. So it is quite possible that surgery would have been rejected regardless of the pelvic exercise being successful or not.
Maybe some experts can shed some light on this, but I dont think that pelvic floor muscles can affect veins in the penis, which is where the problem of the venous leak exists. Also, I hardly consider a one paragraph report on a medical study reliable. if pelvic floor exercise were truely "a realistic alternative to surgery" then It would have probably been more appropriate for the doctors to be a little more specific about the study/results.
Exercise being more effective then surgery is pretty fing crazy... but this isnt what the paragraph is saying, it says that subjects prefer not to have surgey, and perhaps by coincidence or perhaps by causation that they were doing kegels before, which may or may not had an effect on their decision to undergo surgery.
Personally this looks like the doctors are reporting a result that they want to report, if that makes any sense. But it does say that the sample had proven venous leaks, which is interesting... I'd like to know the method and how it was proven. If it were doppler why wouldnt they disclose that fact? What if it was proven by examination/description of subjects? It doesnt say...
Also it says that the workout was given a total of 5 times, or once every week for 5 weeks. I dont know any part/muscle of the human body that will show a large noticable difference in function after 5 sessions of exersice spread over 5 weeks, unless these doctors have developed a super pelvic floor training programme which heals venous leaks in 5 weeks = Absurd
I dont mean to hate Big Al/Board, but there is no proof other than one measly paragraph and a little too much gray area in the material for this to be conclusive about the effect kegels have on venous leaks