Penile venous surgery for cavernosal venous leakage: long-term results and retrospective studies

Urologia Internationalis
A KatzenwadelU Wetterauer

Abstract

From February 1987 to September 1991, 122 men with erectile impotence and confirmed cavernosal venous leakage underwent penile venous surgery. After a postoperative follow-up of 36 months, only 18.8% of the patients had satisfactory erections without further therapy. Another 32.5% postoperatively converted to responders to intracavernous injection therapy with vasoactive drugs. Therefore, a total of 51.3% benefitted from the operation. Dynamic pharmacocavernography proved to be the most important examination in terms of establishing indication and prognosis. According to our results, there are two basically different forms of cavernosal venous leakage with different postoperative outcomes: primary and secondary corporeal incompetence. In many cases, an arterial cofactor was determined.

Citations

Mar 24, 2005·International Urology and Nephrology·M CakanU Altuğ
Sep 1, 2005·International Journal of Andrology·Hsien-Sheng WenE Ferdinand Einhorn
Dec 24, 2014·Asian Journal of Andrology·Edward D KimCyrus D Rahnema
Jan 21, 2018·BMJ Case Reports·Marcus HallerstromMiles Walkden
Dec 8, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Cheng-Hsing HsiehJu-Ton Hsieh
Feb 20, 2021·Frontiers in Cardiovascular Medicine·Hanno Hoppe, Nicholas Diehm

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