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[Microsurgical penile revascularization in patients with pure arteriogenic erectile dysfunction]
Y Kawanishi1, K Kimura, K Yamaguchi
1Department of Urology, Takamatsu Red Cross Hospital.
Background:
We report the results of microscopic penile revascularization in patients with arteriogenic erectile dysfunction.
Methods:
One patient with localized obstruction of the common penile artery underwent the Michal II penile revascularization, 13 patients underwent the Furlow-Fisher procedure, and 5 patients underwent the Hauri procedure. The mean age was 33.0 years and the mean follow-up period was 32 months (4-80 months). Eight patients were tobacco smokers, one patient was over 50 years old. Surgery was considered successful when the patients had a permeable anastomosis and were able to achieve satisfactory erection resulting in normal sexual intercourse.
Results:
All surgery was successful except for one patient who had undergone the Furlow-Fisher procedure. In Spite of antithrombotic therapy, graft occlusion occurred in two patients. Post operative glans hypervascularity occurred in two patients.
Conclusion:
Penile revascularization surgery is a highly effective treatment for selected patients. There is a need for further study of graft occlusion and glans hypervascularity.