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Deep dorsal vein arterialization in vascular impotence
J P Sarramon1, T Janssen, P Rischmann
1Department of Urology, Renal Transplantation and Andrology, CHU Purpan, Toulouse, France.
European Urology
|January 1, 1994
Summary
Penile deep dorsal vein arterialization (DDVA) shows promising results for vascular impotence. The procedure achieved high success rates in patients with venous leak and arteriogenic impotence, restoring satisfactory sexual function.
Area of Science:
- Urology
- Vascular Surgery
- Andrology
Background:
- Vascular impotence, including venous leak and arteriogenic impotence, significantly impacts quality of life.
- Surgical interventions are explored to address complex cases of erectile dysfunction.
Purpose of the Study:
- To evaluate the efficacy and outcomes of penile deep dorsal vein arterialization (DDVA) in patients with various forms of vascular impotence.
- To assess the functional mechanism and success rates of DDVA in achieving satisfactory erectile function.
Main Methods:
- A cohort of 33 patients with venous leak, pure arteriogenic impotence, or mixed arterial and venous impotence underwent DDVA.
- Success was defined by permeable anastomosis, ability to achieve satisfactory erections, and normal intercourse.
- Follow-up averaged 12 months, with monitoring for graft occlusion and complications.
Main Results:
- Overall success rates varied by etiology: 92% for venous leak, 62.5% for arteriogenic impotence, and 58% for mixed lesions.
- Antithrombotic therapy prevented graft occlusion in all patients.
- Three patients experienced glans hypervascularity, successfully managed with arterial banding.
Conclusions:
- Penile deep dorsal vein arterialization (DDVA) is an effective treatment option for vascular impotence, particularly in cases of venous leak.
- The procedure demonstrates a favorable safety profile with manageable complications.
- DDVA offers a viable surgical solution for restoring erectile function in selected patient populations.