With one exception, all therapeutic strategies for the management of the impotent male are treatments and not curative. The exception to this is penile revascularization. Penile microsurgical artery bypass surgery offers a distinct subpopulation of impotent patients (small in number) a potential cure for their problem. This operation was first attempted in the 1970s and has undergone many refinements since its first description by Michal et al. [1–3]. Many variations have been described by workers such as Virag et al. [4,5], Hauri , Crespo et al. , Goldstein , and Hatzichristou and Goldstein . Currently, the most widely performed form of bypass procedure uses anastomosis of the inferior epigastric artery to one or both dorsal arteries of the penis. The overall goal of penile revascularization surgery is to bypass an obstructive arterial lesion in either the common penile or cavernosal artery. The specific objective of this surgery is to increase the blood pressure in the cavernosal artery and therefore the corpus cavernosum.
KeywordsErectile Dysfunction Corpus Cavernosum Corporal Body Internal Pudendal Artery Nocturnal Penile Tumescence
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