[Surgical treatment of venous-induced erectile impotence in the male]

Z Urol Nephrol. 1989 Jan;82(1):39-44.
[Article in German]

T?r?k A, Lenk S, Sz?kely J Jr, G?tz F.

Urologische Klinik, Medizinischen Universit?t P?cs/Ungarn.

In 14 out of 94 patients with erectile dysfunction a venous insufficiency was suspected. Localization and securing of the venous leak were done by dynamic cavernosography. An insufficient penile blood supply could excluded by Doppler ultrasonography and measurement of the penile-brachial artery-pressure index. In 7 out of 13 patients treated by ligation of penile veins the erectile function was normalized after operation, in 4 cases an additional intracavernous injection therapy was necessary and in 2 patients the operation was unsuccessful. If impotence occurs once more due to venous collaterals the implantation of a penile prosthesis should considered.

• Diagnosis and treatment of venous leakage: a curable cause of impotence.
• Microsurgical arterialization for vascular impotence.
• [Hemodynamometry of erectile dysfunction]
• Pelvic hemodynamics before and after aortoiliac vascular reconstruction: the significance of penile blood pressure.
• Noninvasive penile arterial evaluation in 120 males with erectile dysfunction.