[Impotence of vascular origin. Techniques of exploration and therapeutic orientations]

Area of Science:

• Urology
• Vascular Medicine
• Andrology

Background:

• Vascular issues are a primary cause of erectile dysfunction (ED).
• Clinical assessment alone is inadequate for diagnosing vascular ED.
• Accurate diagnosis is crucial for effective treatment.

Purpose of the Study:

• To outline diagnostic methods for vascular erectile dysfunction.
• To emphasize the necessity of non-invasive testing.
• To highlight recent therapeutic advancements.

Main Methods:

• Doppler measurements and duplex sonography.
• Nocturnal penile plethysmography.
• Intracavernous injection of vasoactive drugs.
• Pharmacocavernosography and pharmacoarteriography when necessary.

Main Results:

• A combination of non-invasive tests is essential for diagnosing vascular ED.
• Invasive tests may be required in select cases.
• Psychological status and clinical biochemistry are also important diagnostic components.

Conclusions:

• Comprehensive diagnostic protocols are vital for identifying vascular causes of ED.
• Emerging therapies show promise for improving ED outcomes.
• Integrating various diagnostic tools ensures accurate etiology determination.