Preoperative and Postoperative Dynamic Cavernosography and Cavernosometry: Objective Assessment of Venous Ligation for Impotence

Yu, George W.; Schwab, Frederick J.; Melograna, Frank S.; DePalma, Ralph G.; Miller, Harry C.; Rickholt, Annette L.

doi:10.1016/s0022-5347(17)37323-8

Cited by 18 publications

(6 citation statements)

References 22 publications

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“…With the intention to document the diagnosis of CVOD, prevailing methods have been DICC [25][26][27] and PDDU 28 with subsequent protocol. [29][30][31][32][33] One protocol of DICC for diagnosis of CVOD was generally adopted. ICP was measured at baseline and at 2-min intervals for 8-10 min after administering 60 mg of papaverine intracavernously.…”

Section: Discussionmentioning

confidence: 99%

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Surgical niche for the treatment of erectile dysfunction

Hsieh

Hsu²,

Chang

et al. 2019

Int J of Urology

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Penile erection implicates arterial inflow, sinusoidal relaxation and corporoveno‐occlusive function. By far the most widely recognized vascular etiologies responsible for organic erectile dysfunction can be divided into arterial insufficiency, corporoveno‐occlusive dysfunction or mixed type, with corporoveno‐occlusive dysfunction representing the most common finding. In arteriogenic erectile dysfunction, corpora cavernosa show lower oxygen tension, leading to a diminished volume of cavernosal smooth muscle and consequential corporoveno‐occlusive dysfunction. Current studies support the contention that corporoveno‐occlusive dysfunction is an effect rather than the cause of erectile dysfunction. Surgical interventions have consisted primarily of penile revascularization surgery for arterial insufficiency and penile venous surgery for corporoveno‐occlusive dysfunction, whatever the mechanism. However, the surgical effectiveness remained debatable and unproven, mostly owing to the lack of consistent hemodynamic assessment, standardized select patient and validated outcome measures, as well as various surgical procedures. Penile vascular surgery has been disclaimed to be the treatment of choice based on the currently available guidelines. However, reports on penile revascularization surgery support its utility in treating arterial insufficiency in otherwise healthy patients aged <55 years with erectile dysfunction of late attributable to arterial occlusive disease. Furthermore, it is noteworthy that penile venous surgery might be beneficial for selected patients with corporoveno‐occlusive dysfunction, especially with a better understanding of the innovated venous anatomy of the penis. Penile vascular surgery might remain a viable alternative for the treatment of erectile dysfunction, and could have found its niche in the possibility of obtaining spontaneous, unaided and natural erection.

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Section: Discussionmentioning

confidence: 99%

“…With the intention to document the diagnosis of CVOD, prevailing methods have been DICC and PDDU with subsequent protocol . One protocol of DICC for diagnosis of CVOD was generally adopted.…”

Section: Introductionmentioning

confidence: 99%

Surgical niche for the treatment of erectile dysfunction

Hsieh

Hsu²,

Chang

et al. 2019

Int J of Urology

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“…The extent of the DPVL may be important, because it has reported that procedures that do not attempt to ligate the cavernous, crural and deep dorsal venous systems will have a higher rate of failure [9,25]. We did not perform such a more extensive ligation.…”

Section: Discussionmentioning

confidence: 99%

“…Recently renewed interest in venous surgery has increased due to the low acceptance rate of penile implants as first line therapy, difficulties and expense of mixed pharmacotherapy, and high dropout rate (more than 50%) for self-injection therapy in longitudinal studies [14]. While short term success rates have been reported as 23-80% on follow up less than one year [9][10][11][12][13][14][15][16] the long term success rate (greater than 1 year) were reported as 13-61% [17,18], so the actual long-term success after venous surgery remains unsatisfactory with rates about 25% [4,19]. Recent reports, as well as our own results with 134 patients over a period of 5 years, indicate that results of penile vein ligation deteriorate with time.…”

Section: Discussionmentioning

confidence: 99%

Is dorsale penile vein ligation (dpvl) still a treatment option in veno-occlusive dysfunction?

Çakan¹,

Yalçınkaya

Demirel

et al. 2004

Int Urol Nephrol

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“…Ideal cases are those associated with trauma, and ef®cacy appears to relate to objective reduction of ow to maintain erection as determined by DICC. 39 …”

Section: Group Iv: Venous Interruptionmentioning

confidence: 99%

Vascular surgery for impotence: a review

DePalma

1997

Int J Impot Res

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Progress in treatment of impotence in the past two decades has resulted in impressive advances. While most men respond to medical therapy including prostaglandin E1 injection or the more recent use of urethral alprostadil, 6±7% of men fail to respond to these treatments or vacuum devices. This review considers current and past results of vascular surgery in this group of men. Guidelines for case selection for vascular interventions as well as reporting criteria are suggested. Vascular surgery as a logical ®rst step in selected patients may offer an advantage in men failing conservative therapy and for those not desiring prosthetic implantation.

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Preoperative and Postoperative Dynamic Cavernosography and Cavernosometry: Objective Assessment of Venous Ligation for Impotence

Cited by 18 publications

References 22 publications

Surgical niche for the treatment of erectile dysfunction

Surgical niche for the treatment of erectile dysfunction

Is dorsale penile vein ligation (dpvl) still a treatment option in veno-occlusive dysfunction?

Vascular surgery for impotence: a review

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