[Revascularization of the penis in vascular-induced erectile dysfunction: clinical results of the Hauri surgical...

Hauri's modification of the procedure for operative penile revascularization has been known since 1983; it is characterized by an anastomosis between the inferior epigastric artery and the dorsal artery of the penis with an arteriovenous shunt with the deep dorsal vein of the penis. Since 1986 this surgical technique has been applied in 18 patients with vascular erectile dysfunction. Their average age was 47 years, and the mean observation period was 8 months. We did not consider the operation indicated unless the presence of pathologic vessels was demonstrated in the distal region of the internal pudendal artery by selective arteriography. After the operation, a 6-month therapy with platelet aggregation inhibitors is necessary. At postoperative follow-up 12 of the 18 patients reported that their sex life was unrestricted and they had spontaneous erections.