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Diagnostic and Surgical Approach to Impotent Patients with Cavernovenous Leakage

  • Chapter
Erectile Dysfunction

Abstract

The precise mechanism of the venous system during human erection is not completely understood. Recent studies based on isotopic [29], radiological [7, 23, 24, 36, 37] or ultrasonographic [6] examinations of venous return during physiological erection or after papaverine-induced erection have confirmed the existence of a venous blockage. It appears to function due to compression of the emissary veins between the dilated sinusoidal spaces and the tunica albuginea at rigidity [9]. However, if there is complete blockage of the venous return through the emissary veins, venous outflow through the cavernous veins is reduced, but still persists and allows circulation of blood for oxygenation of the erectile tissues during erection [35].

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  1. E. Wespes
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Editors and Affiliations

  1. Klinik für Urologie, Medizinische Hochschule Hannover, Konstanty-Gutschow-Straße 8, W-3000, Hannover 61, Germany

    Udo Jonas , Walter Ferdinand Thon  & Christian Georg Stief ,  & 

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© 1991 Springer-Verlag Berlin Heidelberg

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Wespes, E. (1991). Diagnostic and Surgical Approach to Impotent Patients with Cavernovenous Leakage. In: Jonas, U., Thon, W.F., Stief, C.G. (eds) Erectile Dysfunction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-00986-4_23

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  • DOI: https://doi.org/10.1007/978-3-662-00986-4_23

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-00988-8

  • Online ISBN: 978-3-662-00986-4

  • eBook Packages: Springer Book Archive

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