Surgical Treatment of Venous Leakage:
Medium-Term Follow-Up

McLoughlin, John; Asopa, R.; Williams, G.

doi:10.1159/000474628

Cited by 8 publications

(2 citation statements)

References 12 publications

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“…35 Ligation of the penile vein immediately following its formation by the merger of the bulbo-urethral and cavernous veins results in a range of reported success rates from 24% to 63% at 12 months, 38,39 to 38% to 71% at two years. 40,41 The only study to assess both 12-and 24-month success rates revealed a significant decline in success of almost 40% during the second 12 months. 38 Again, failures were thought to be secondary to remaining leakage from the crural and deep dorsal vein as well as the peri-prostatic venous plexus.…”

Section: Surgerymentioning

confidence: 99%

Venous leak and erectile dysfunction – an important differential

Kaba

Pearce

2019

Journal of Clinical Urology

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Congenital venous leak or veno-occlusive dysfunction is an important cause of vasculogenic erectile dysfunction, posing a significant challenge to urologists. To date no medical therapy exists for the treatment of this condition, whilst surgical management options are based on resection or ligation of the offending venous drainage with a significant decline in efficacy with follow-up exceeding 12 months, perhaps as a consequence of collateral drainage. This review article highlights the importance of veno-occlusive dysfunction. We discuss the pathophysiology, investigations and the required treatment. Level of evidence: Not applicable for this multicentre audit.

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Section: Surgerymentioning

confidence: 99%

Venous leak and erectile dysfunction – an important differential

Kaba

Pearce

2019

Journal of Clinical Urology

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“…Corpus cavernosum electromyography/single potential analysis of cavernous electrical activity has been suggested as a predictive diagnostic parameter for penile venous surgery for venogenic erectile dysfunction [16] and a suboptimal response to surgery may be improved by intracavernous pharmacotherapy [17]. Although a repeat ligation may be suggested, the results have been poor [18].…”

mentioning

confidence: 99%

Classic Citations: Further Experience with an Operation for the Cure of Certain Types of ImpotenceO.S. Lowsley, and A. Rueda

Glina

Tan

El‐Sakka

et al. 2009

The Journal of Sexual Medicine

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Electron microscopic findings of penile tissues in veno-occlusive dysfunction: Is penile biopsy necessary?

Başar

Sargon

Başar

et al. 1998

International Urology and Nephrology

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In this study, we examined the biopsy patterns of penile tissues taken during operation from patients subjected to surgical treatment for veno-occlusive dysfunction, and evaluated the importance of penile biopsy. We evaluated the findings from 17 patients with venous impotence. Fourteen of them underwent total vein ligation and the rest penile prosthesis implantation. Tissue specimens taken from superficial and deep dorsal veins, tunica albuginea and corpus cavernosum during operation were examined under electron microscope. Tissue specimens taken from 3 cadavers were used as the control group. Although the deep and superficial vein specimens of all patients did not show significant differences, oedema and increase of fibroblasts in collagen fibres of the corpus cavernosum and tunica albuginea were demonstrated. We concluded that penile biopsy as an invasive method does not give enough information about the choice of treatment for erectile dysfunction.

show abstract

Surgical Treatment of Venous Leakage: Medium-Term Follow-Up

Cited by 8 publications

References 12 publications

Venous leak and erectile dysfunction – an important differential

Venous leak and erectile dysfunction – an important differential

Classic Citations: Further Experience with an Operation for the Cure of Certain Types of ImpotenceO.S. Lowsley, and A. Rueda

Electron microscopic findings of penile tissues in veno-occlusive dysfunction: Is penile biopsy necessary?

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