[Cavernovenous leakage, a surgically treatable cause of erectile impotence]

In 17 of 33 patients with proven organic erectile impotence, caverno-venous leakage was determined by dynamic cavernosography in conjunction with high flow rates to induce and maintain artificial erection. The normal values of dynamic cavernosography in 12 healthy males are presented as well. Of these 17 patients 12 (aged 26-51 yr) underwent surgical ligation or resection of the deep dorsal vein of the penis and ligation of ectopic veins if present. Potency was restored immediately postoperatively in 8 of these 12 patients. In 2 of the other 4 operated patients cohabitation was possible again only with auto-injections of papaverine. The short-term results are presented.