Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Microsurgical arterialization for vascular impotence.

L V Wagenknecht1

  • 1Urology Clinic, Civic Hospital, Cuxhaven, FRG.

Microsurgery
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Differential therapies in various stages of penile induration.

Archivos espanoles de urologia·1996
Same author

[Seminal tract reconstruction: 15 years experience].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·1994
Same author

Alloplastic spermatocele: 20 years experience and perspectives.

Acta chirurgica Hungarica·1994
Same author

[The microsurgical reconstruction of the seminal pathways].

Il Giornale di chirurgia·1991
Same author

Microsurgical arterialization for vascular impotence.

European urology·1989
Same author

New treatment of increased venous drainage in organic impotence: ligation of internal iliac veins.

European urology·1989

This study investigated penile arterial blood flow in men with erectile dysfunction. Surgical arterialization improved outcomes for some patients, but diabetic neurovascular issues presented challenges.

Area of Science:

  • Urology
  • Vascular Surgery
  • Andrology

Background:

  • Erectile dysfunction (ED) can stem from vascular issues.
  • Identifying specific vascular pathologies is crucial for effective treatment.

Purpose of the Study:

  • To evaluate the effectiveness of penile arterialization for ED caused by arterial insufficiency.
  • To assess diagnostic methods for identifying penile vascular lesions.

Main Methods:

  • Doppler flowmetry with nitroglycerin stimulation to assess arterial flow.
  • Dynamic cavernosography and cavernosometry to evaluate venous drainage.
  • Phalloarteriography to identify arterial occlusions.
  • Penile arterialization using saphenous vein grafts.

Related Experiment Videos

Main Results:

  • 42 of 400 patients showed decreased penile arterial blood flow.
  • 38 patients had increased venous drainage, indicating venous leak.
  • 21 of 22 patients undergoing phalloarteriography had internal pudendal artery occlusion.
  • Two years post-surgery, 2 out of 3 patients who underwent arterialization showed positive outcomes.
  • Five failures were noted, including four diabetic neurovascular lesions and one case of postoperative priapism.

Conclusions:

  • Penile arterialization can be a viable option for select patients with ED due to arterial insufficiency.
  • Accurate diagnosis of vascular pathology is essential for surgical success.
  • Diabetic neurovascular lesions remain a significant challenge in treating ED.