Summary
On the basis of strict exclusion criteria, penile revascularization was considered to be promising in only 12.8% of our patients with erectile dysfunction. Major venous leakage and other etiologies should be excluded as the origin of erectile failure before microsurgical repair is carried out. A 1-year success rate of 80% confirms the long-term benefit achieved using these procedures. The broad spectrum of peripheral occlusion patterns demands a differentiated surgical approach, including various operative techniques. A final decision as to the ideal revascularization technique should be made intraoperatively. Nevertheless, an algorithm of only three different methods was sufficient to cover all individual vascular situations in our first 23 patients.
Similar content being viewed by others
References
Bennett AH (1988) Venous arterialization for erectile impotence. Urol Clin North Am 15:111–113
Carmignani G, Pirozzi F, Spano G, Carlen C, Stefani S de (1987) Cavernous artery revascularization in vasculogenic impotence: new simplified technique. Urology 30:23–26
Crespo EL, Soltanik E, Bove D, Farrell G (1982) Treatment of vasculogenic sexual impotence by revascularization of cavernous and/or dorsal arteries using microvascular techniques. Urology 20:271–275
Crespo E, Bove D, Farrell G, Soltanik E (1988) Results with our original microsurgical technique for pure vascular impotence. In: Proceedings of the 3rd World Meeting on Impotence. CME Boston University, Boston, p 138
Degui M, Tulli RE (1986) Revascularization of the penis in vasculogenic male impotence syndrome (abstract). Presented at the 2nd World Meeting on Impotence, 17–20 June 1986, Prague
Goldstein J (1986) Arterial revascularization procedures. Semin Urol 4:252–257
Goldstein J (1989) Emissary vein valves: a dilemma for venous arterialization surgery. Abstract 424, Proceedings of the 84th AUA Annual Meeting, 13–17 May 1989, Dallas
Hauri D (1984) Therapiemöglichkeiten bei der vaskulär bedingten erektilen Impotenz. Akt Urol 15:350–354
Hauri D (1988) Diagnosis and treatment of arteriogenic impotence (abstract). In: Proceedings of the 21th Congress of the International Society of Urology. SIU, Bueños Aires, pp 150
Krane RJ (1988) Nomenclature, classification (abstract). In: Proceedings of the 4th Biennial International Symposium for Corpus Cavernosum Revascularization. CME Boston University, Boston, p 11
Lewis RW, Pryan FA, Bell DP (1986) Another surgical approach for vasculogenic impotence. J Urol 136:1210–1212
Michal V (1988) Surgical therapy for cavernosal artery insufficiency (abstract). In: Proceedings of the 6th Biennial International Symposium for Corpus Cavernosum Revascularization. CME Boston University, Boston, p 75
Michal V, Kramar R, Pospichal J, Hejhal L (1973) Direct arterial anastomosis to the cavernous body in treatment of erectile impotence. Rozhl Chir 52:587–591
Michal V, Kramar R, Hejhal L (1980) Revascularization procedures of the cavernous bodies. In: Zorgniotti AW, Rossi G (eds) Vasculogenic impotence. Charles Thomas, Springfield Illinois, pp 239–244
Michal V, Krysl I, Klika T, Fora P (1986) Revascularization of the cavernous bodies (abstract) Presented at the 2nd World Meeting on Impotence, 17–20 June 1986, Prague
Porst H (1987) Direkte Schwellkörperrevaskularisationen. In: Porst H (ed) Erektile Impotenz. Enke, Stuttgart, pp 189–195
Sharlip ID (1988) Surgical treatment of cavernous artery insufficiency (abstract). In: Proceedings of the 6th Biennal International Symposium for Corpus Cavernosum Revascularization. CME Boston University, Boston, p 75
Shaw WW, Zorgniotti AW (1984) Surgical techniques in penile revascularization. Urology 23:76–78
Sikora R, Sohn M, Bohndorf K, Lutzeyer W (1988) First results of dynamic-pharmaco-cavernosography under pudendus stimulation (abstract). In: Proceedings of the 21st Congress of the International Society of Urology. SIU, Bueños Aires, p 115
Sohn M, Sikoro R, Deutz FJ, Bohndorf K, Günther R (1988) Differenzierte mikrochirurgische Therapie bei vaskulär bedingtererektiler Impotenz. Urology [A] 27:164–170
Virag R (1986) Principles and long-term evaluation of revascularization and venous surgery for impotence. In: Virag R, Virag H (eds) Proceedings of the First World Meeting. Editions du CERI, Paris, pp 285–289
Wespes E (1988) Long-term follow-up of patients operated on for venous leakage (abstract). In: Proceedings of the 6th Biennal International Symposium for Corpus Cavernosum Revascularization. CME Boston University, Boston, p 193
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sohn, M., Sikora, R., Bohndorf, K. et al. Selective microsurgery in arteriogenic erectile failure. World J Urol 8, 104–110 (1990). https://doi.org/10.1007/BF01576358
Issue Date:
DOI: https://doi.org/10.1007/BF01576358