[A method for revascularizing the penis]

The authors propose an original method of vasculogenic impotence surgery involving correction of arterial and arteriovenous insufficiency of the penis. This includes isolation of penile dorsal artery and deep dorsal vein in the proximal and middle third, then of the low epigastric artery along the entire length from the branching to the distal third. Upon establishing the shunt from the dorsal artery and vein, it is sutured with epigastric artery end-to-side. The procedure ends by placing the deep dorsal vein into the duplicature of the corpus cavernosum tunica albuginea. Follow-up results (within 3 years) available for 12 surgical patients demonstrate that improvement did not occur only in one case. This patient had corpus cavernosum sclerosis.