Summary
A total of 21 patients presenting with impotence due to venous leakage were treated with occlusion of the proximal part of the deep dorsal penile vein and the distal part of the prostatic plexus by way of a radiological intervention technique, i.e. occlusion with detachable balloons and coils. The distal part of the deep dorsal vein was also resected. The follow-up period ranged from 1 to 27 months (mean, 15.3 months). The results of this treatment were compared with the results of resection of the deep dorsal vein alone in 29 patients. Better results were obtained in the balloon-occlusion group, although the differences between the two groups did not reach statistical significance. When the results obtained in the two groups were considered in relation to the amount of leakage, we found no statistically significant difference. The long-term results of venous surgery for veno-occlusive dysfunction are not encouraging, even when more extensive procedures for the prevention of venous outflow are used.
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References
Lydston GF (1908) The surgical treatment of impotency. Am J Clin Med 15:1571
Wooten JS (1902) Ligation of the dorsal vein of the penis as a cure for atonic impotence. Tex Med J 18:325
Lewis RW (1990) Venous ligation surgery for venous leakage. Int J Impotence Res 2:1–19
Treiber U, Gilbert P (1989) Venous surgery in erectile dysfunction: a critical report on 116 patients. Urology 24:22–27
Wespes E (1987) Impuissance organique masculine. Acta Urol Belg 55:141–330
Kropman RF, Lycklama à Nijeholt AAB, Giesbers AAGM, Zwartendijk J (1990) Results of deep dorsal penile vein resection in impotence caused by venous leakage. Int J Impotence Res 2:29–34
Kropman RF, Lycklama à Nijeholt AAB, Jansen FH, Kruyt RH (1990) Results of repeated cavernography in ten patients without good clinical late results after partial resection of the deep dorsal penile vein. World J Urol 8:101–103
Courtheoux P, Maiza D, Henriet JP, Vaislic CD, Evrard C, Theron J (1986) Erectile dysfunction caused by venous leakage: treatment with detachable balloons and coils. Radiology 161:807–809
Wespes E, Delcour C, Struyven J, et al (1986) Pharmacocavernometry-cavernography in impotence. Br J Urol 58:429–433
Aboseif SR, Breza J, Lue TF, Tanagho EA (1989) Penile venous drainage in erectile dysfunction. Anatomical, radiological and functional considerations. Br J Urol 64:183–190
Stief CG, Wetterauer U, Sommerkamp H (1989) Intra-individual comparative study of dynamic and pharmacocavernography. Br J Urol 64:93–97
Kromann-Andersen B, Kroyer Nielsen K, Nordling J (1991) Cavernosometry: methodology and reproducibility with and without pharmacological agents in the evaluation of venous impotence. Br J Urol 67:517–521
Bookstein JJ, Lurie AL (1988) Transluminal penile venoablation for impotence: a progress report. Cardiovasc Intervent Radiol 11:253–260
Ami Sidi A, Hunter DW, Becher EF (1990) Sclerotherapy and embolization for the treatment of venous incompetence. Int J Impotence Res 2 [Suppl 2]:356–357
Pfeiffer G, Terhorst B (1988) Chirurgische Therapie bei erektiler Impotenz vaskulärer venöser Genese. Urologie [A] 27:139–141
Yu GW, Melograna F, Miller H, DePalma RG (1990) A retropubic approach for treatment of impotence due to venous leakage. Int J Impotence Res 2 [Suppl]:390–391
Wagenknecht LV (1987) Diagnostik und Therapie bei organischer Impotenz. In: Verhandlungsbericht der Deutschen Gesellschaft für Urologie, 23–28 September 1986, Würzburg. Springer, Berlin Heidelberg New York, pp 412–415
Wespes E (1989) Long term follow-up of patients operated for venous leakage. Proceedings, 3rd Congress Nederlandse Vereniging voor Impotentie-Onderzoek, December 8, Bilthoven, The Netherlands
Azadzoi KM, Goldstein I, Krane RJ, Saenz de Tejada I (1990) Characterization of the fibroelastic properties of human corpus cavernosum. Int J Impotence Res 2 [Suppl 2]:81–82
Padma-Nathan H, Cheung D, Perelman N, Boyd SD, Nimni ME (1990) The effects of aging, diabetes and vascular ischemia on the biochemical composition of collagen found in the corpora and tunica of potent and impotent men. Int J Impotence Res 2 [Suppl 2]:75–76
Breza J, Aboseif SR, Orvis BR, Lue TF, Tanagho EA (1989) Detailed anatomy of penile neurovascular structures: surgical significance. J Urol 141:437–443
Jünemann KP, Persson-Jünemann C, Alken C (1990) Pathophysiology of erectile dysfunction. Semin Urol 8:80–93
Lewis RW (1988) Venous surgery for impotence. Urol Clin North Am 15:115–121
Bookstein JJ (1987) Cavernosal veno-occlusive insufficiency in male impotence: evaluation of degree and location. Radiology 164:175–178
Bookstein JJ, Valji K (1991) The arteriolar component in impotence: a possible paradigm shift. AJR 157:932–934
Sharlip ID (1991) The incredible results of penile vascular surgery. Int J Impotence Res 3:1–6
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Kropman, R.F., Lycklama à Nijeholt, A.A.B., Odink, H.F. et al. Treatment of impotence caused by veno-occlusive dysfunction with detachable balloons and coils in combination with resection of the deep dorsal vein: comparison with resection of the deep dorsal vein only. World J Urol 10, 226–230 (1992). https://doi.org/10.1007/BF00208915
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DOI: https://doi.org/10.1007/BF00208915