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Should venous surgery be still proposed or neglected?
F Sasso1, G Gulino, A Di Pinto
1Department of Urology, Catholic University Sacred Heart, Rome, Italy.
International Journal of Impotence Research
|March 1, 1996
Summary
Penile venous surgery, including dorsal deep vein ligation (DDVL) and corporopexy, offers a viable treatment for venous erectile dysfunction in select men. While long-term spontaneous erection rates vary, many patients achieve satisfactory sexual function.
Area of Science:
- Urology
- Andrology
- Surgical Innovation
Background:
- Venous erectile dysfunction (VED) is a common cause of erectile dysfunction (ED) in men.
- Surgical interventions for VED aim to improve penile hemodynamics and restore erectile function.
Purpose of the Study:
- To evaluate the efficacy of penile venous surgery for treating VED.
- To compare outcomes between dorsal deep vein ligation (DDVL) alone and DDVL combined with corporopexy.
Main Methods:
- A cohort of 44 men with VED underwent penile venous surgery.
- Surgical procedures included DDVL (n=15) and DDVL + corporopexy (n=29).
- Patients were assessed for spontaneous erection and sexual function at short-term and long-term follow-up.
Main Results:
- Short-term spontaneous erection rates were 57.2% for DDVL and 75.8% for DDVL + corporopexy.
- Long-term spontaneous erection rates decreased to 28.6% for DDVL and 51.7% for DDVL + corporopexy.
- Overall, 44.2% achieved full spontaneous erection, 9.3% required intracavernous injections, and 13.9% received penile implants long-term. 67.4% achieved acceptable sexual intercourse.
Conclusions:
- Penile venous surgery can be a useful treatment option for selected patients with VED.
- The combination of DDVL and corporopexy may offer better short-term results than DDVL alone.
- Further therapeutic options are often required for sustained erectile function post-surgery.