[Surgical possibilities in treatment of vascular-induced erectile impotence]

We are of the opinion that in most cases of erectile dysfunction morphological factors are involved. These have to be defined by means of adequate diagnostic procedures. When vascular disease is responsible it is necessary to distinguish between arterial, venous and arteriovenous conditions. Whereas arterial failure can often be corrected, the treatment of venous leakage is problematic, as the primary disease seems to affect the cavernous bodies directly.