Surgical approach of venous leakage

Venous leakage is a cause of impotence easily demonstrated by dynamic cavernosography. It revealed dorsal venous leakage in 41 patients, perineal leakage in 15 patients and dorsal plus perineal leakage in 42 patients. Dorsal vein ligation was performed in 38 cases. Fourteen patients underwent ligation of crura penis. Combined procedure was done in 36 patients. Immediate results of the surgical approach are quite encouraging, but finally, they are satisfactory in only 20% of the cases. Nevertheless, surgical treatment of venous leakage can further be taken into consideration to reduce blood outflow and strengthen vasoactive drug effects.