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Posttraumatic impotence: angiographic evaluation.

A L Lurie1, J J Bookstein, W O Kessler

  • 1Department of Radiology, University of California Medical Center, San Diego 92103.

Radiology
|January 1, 1988
PubMed
Summary
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Penile trauma can cause impotence in men. Angiography successfully diagnosed various types of impotence, including arteriogenic, venogenic, and neurogenic, guiding treatment options for these conditions.

Area of Science:

  • Urology
  • Radiology

Background:

  • Penile trauma is a recognized cause of impotence.
  • Diagnostic challenges exist in identifying the specific etiology of impotence post-trauma.

Purpose of the Study:

  • To investigate the role of angiography in diagnosing impotence following penile trauma.
  • To categorize the types of impotence resulting from penile trauma.

Main Methods:

  • Retrospective analysis of 90 patients undergoing angiography for impotence.
  • Utilized advanced techniques including selective magnification pharmacoarteriography, pharmacocavernosography, and pharmacocavernosometry.
  • Correlated angiographic findings with patient history of penile trauma.

Main Results:

  • Ten of 90 patients (11.1%) had impotence related to penile trauma.

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  • Angiography facilitated diagnosis in all patients.
  • Diagnoses included arteriogenic (n=2), arteriovenogenic (n=2), venogenic (n=3), venoneurogenic (n=1), neurogenic (n=1), and psychogenic (n=1) impotence.

    • Conclusions:

    • Angiography is a crucial diagnostic tool for evaluating impotence after penile trauma.
    • Trauma-induced impotence has diverse etiologies, necessitating tailored diagnostic and therapeutic approaches.
    • Treatment strategies varied based on angiographic findings, including surgical and non-surgical interventions.