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Erectile dysfunction is the inability to get or maintain an erection hard enough for satisfactory sex. While data is limited and the risk of priapism is somewhat increased, there is a reasonable chance this will work and obviate the need for surgery. When erectile dysfunction is caused by a venous leak , it may be treated with corrective vascular surgery. We usually recommend the patient switching sides to minimize scarring. There s no cutoff level for how soft or short an erection has to be to signify a problem, though.