Management of corporal veno-occlusive dysfunction

S. Petrou, R. W. Lewis

Research output: Contribution to journalArticle

8 Scopus citations

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 languageEnglish (US)
Pages (from-to)48-55
Number of pages8
JournalUrologia Internationalis
Volume49
Issue number1
DOIs
Publication statusPublished - 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

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