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[Impotence: introductory notes].

E Belgrano1, C Trombetta, F Pirozzi-Farina

  • 1Istituto di Clinica Urologica, Università di Sassari.

Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|June 1, 1992
PubMed
Summary
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Erectile impotence has multiple causes, requiring thorough urological screening for effective surgical treatment. Diagnostic approaches include arteriography and vasoactive agent injections to guide interventions like angioplasty or prostheses.

Area of Science:

  • Urology
  • Andrology

Context:

  • Erectile impotence, defined as the inability to achieve and maintain an erection, stems from diverse causes including psychologic, neurogenic, arterial, venous, and systemic factors.
  • Comprehensive etiological screening by urologists is crucial for selecting the optimal surgical strategy.

Purpose:

  • To outline the diagnostic and surgical approaches for managing erectile impotence.
  • To detail various surgical correction methods and diagnostic tools for evaluating impotence.

Summary:

  • Surgical interventions for impotence include percutaneous transluminal angioplasty (P.T.A.), revascularization, venous leakage treatment, trans-luminal veno-occlusion (T.L.V.O.), penile curvature correction, and prostheses placement.
  • Diagnosis of arteriogenic impotence relies on arteriography showing significant obstruction; papaverine injection aids visualization. Intracavernous vasoactive agents offer a non-surgical alternative.

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Impact:

  • Accurate diagnosis and tailored surgical planning improve treatment outcomes for patients with erectile dysfunction.
  • This review provides a framework for understanding the multifaceted nature of impotence and its management.