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Arterial anatomy and arteriographic diagnosis of arteriogenic impotence

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Abstract

One hundred twenty-six bilateral selective arteriographic examinations of the iliopudendal vascular tree were performed after comprehensive multidisciplinary evaluation in patients with chronic erectile dysfunction. Best imaging results were obtained by performing the arteriography under epidural anesthesia after intracavernous injection of a vasoactive drug combination. The arteriography is mandatory prior to revascularization procedures. It is further indicated in primary erectile dysfunction and posttraumatic erectile failure. The importance of cavernosography and selective arteriography in primary erectile dysfunction is stressed. Increasing knowledge about the influence of vasoactive drugs on penile hemodynamics has led to its application in diagnosis and therapy of erectile dysfunction. Pharmacocovernosography, Doppler-ultrasound of penile arteries after intracavernous injection of a vasoactive drug combination, and pharmacoarteriography are refined techniques to prove a vascular etiology of erectile dysfunction. The results of the morphologic studies of the vascular system are correlated with functional testing of erectile capacity by intracavernous application of a papaverinephentolamine drug combination.

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Authors and Affiliations

  1. Department of Radiology, Federal Army Hospital, Ulm, West Germany

    Wolfgang Bähren

  2. Department of Dermatology, Federal Army Hospital, Ulm, West Germany

    Helmut Gall

  3. Department of Neurology and Psychiatry, Federal Army Hospital, Ulm, West Germany

    Wolfgang Scherb

  4. Department of Urology, Federal Army Hospital, Ulm, West Germany

    Christian Stief & Walter Thon

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  1. Wolfgang Bähren
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Bähren, W., Gall, H., Scherb, W. et al. Arterial anatomy and arteriographic diagnosis of arteriogenic impotence. Cardiovasc Intervent Radiol 11, 195–210 (1988). https://doi.org/10.1007/BF02577004

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