Abstract
Veno-occlusive dysfunction has become a recognized cause of organic impotence. The existence of concomitant arterial and sinus smooth-muscle disease makes this disorder often difficult to diagnose. It rarely can be the sole etiology for impotence. The authors' experience in the treatment of this disorder in over 100 patients is presented. The authors rely on cavernosometry/pharmacocavernosometry/pharmacocavernosography and the color duplex Doppler screening test (to eliminate concomitant arterial disease) as the primary diagnostic tools. Twenty-two patients of 58 (38%) have achieved long-lasting success from the surgery so that they are able to have vaginal intercourse. Another 12 patients (21%) have been improved but must depend upon pharmacological injection therapy to obtain a sufficient erection for intercourse. There has been a 41% failure rate, and these are discussed.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 48-55 |
| Number of pages | 8 |
| Journal | Urologia Internationalis |
| Volume | 49 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 1992 |
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Keywords
- Cavernosography
- Cavernosometry
- Diagnosis and surgical management
- Organic impotence
- Penile vein dissection and ligation
- Veno-occlusive erectile dysfunction
ASJC Scopus subject areas
- Urology
Cite this
Management of corporal veno-occlusive dysfunction. / Petrou, S.; Lewis, R. W.
In: Urologia Internationalis, Vol. 49, No. 1, 01.01.1992, p. 48-55.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Management of corporal veno-occlusive dysfunction
AU - Petrou, S.
AU - Lewis, R. W.
PY - 1992/1/1
Y1 - 1992/1/1
N2 - Veno-occlusive dysfunction has become a recognized cause of organic impotence. The existence of concomitant arterial and sinus smooth-muscle disease makes this disorder often difficult to diagnose. It rarely can be the sole etiology for impotence. The authors' experience in the treatment of this disorder in over 100 patients is presented. The authors rely on cavernosometry/pharmacocavernosometry/pharmacocavernosography and the color duplex Doppler screening test (to eliminate concomitant arterial disease) as the primary diagnostic tools. Twenty-two patients of 58 (38%) have achieved long-lasting success from the surgery so that they are able to have vaginal intercourse. Another 12 patients (21%) have been improved but must depend upon pharmacological injection therapy to obtain a sufficient erection for intercourse. There has been a 41% failure rate, and these are discussed.
AB - Veno-occlusive dysfunction has become a recognized cause of organic impotence. The existence of concomitant arterial and sinus smooth-muscle disease makes this disorder often difficult to diagnose. It rarely can be the sole etiology for impotence. The authors' experience in the treatment of this disorder in over 100 patients is presented. The authors rely on cavernosometry/pharmacocavernosometry/pharmacocavernosography and the color duplex Doppler screening test (to eliminate concomitant arterial disease) as the primary diagnostic tools. Twenty-two patients of 58 (38%) have achieved long-lasting success from the surgery so that they are able to have vaginal intercourse. Another 12 patients (21%) have been improved but must depend upon pharmacological injection therapy to obtain a sufficient erection for intercourse. There has been a 41% failure rate, and these are discussed.
KW - Cavernosography
KW - Cavernosometry
KW - Diagnosis and surgical management
KW - Organic impotence
KW - Penile vein dissection and ligation
KW - Veno-occlusive erectile dysfunction
UR - http://www.scopus.com/inward/record.url?scp=0026660097&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0026660097&partnerID=8YFLogxK
U2 - 10.1159/000282395
DO - 10.1159/000282395
M3 - Article
VL - 49
SP - 48
EP - 55
JO - Urologia Internationalis
JF - Urologia Internationalis
SN - 0042-1138
IS - 1
ER -