Venous surgery for impotence

R. W. Lewis

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Venous surgery for impotence is in a dynamic state. The drainage of the corpora cavernosa normally occurs through the crural veins or the cavernous veins and the deep dorsal penile vein. Patients with drainage seen on cavernosography only into a superficial system that persists after injection of intracavernous vasoacive agents are likely to have good results if this drainage is eliminated. This type of patient is not common. A surgical approach that attempts to eliminate the deep dorsal penile system or the crural veins is not as successful. Perhaps subtle arterial disease, concurrent presence of neurologic disease, and collateralization all add to the significant failure rate. Many failures of spontaneous erection will, however, respond to intracavernous injection of vasoactive agents postoperatively. Deep dorsal vein arterialization probably should be reserved for those patients who have an arterial component to their impotence as well as a venogenic cause.

Original languageEnglish (US)
Pages (from-to)115-121
Number of pages7
JournalUrologic Clinics of North America
Volume15
Issue number1
StatePublished - Jan 1 1988

Fingerprint

Erectile Dysfunction
Veins
Drainage
Leg
Injections
Nervous System Diseases

ASJC Scopus subject areas

  • Urology

Cite this

Lewis, R. W. (1988). Venous surgery for impotence. Urologic Clinics of North America, 15(1), 115-121.

Venous surgery for impotence. / Lewis, R. W.

In: Urologic Clinics of North America, Vol. 15, No. 1, 01.01.1988, p. 115-121.

Research output: Contribution to journalArticle

Lewis, RW 1988, 'Venous surgery for impotence', Urologic Clinics of North America, vol. 15, no. 1, pp. 115-121.
Lewis, R. W. / Venous surgery for impotence. In: Urologic Clinics of North America. 1988 ; Vol. 15, No. 1. pp. 115-121.
@article{70790824ed7647399f2ec8d85c3de601,
title = "Venous surgery for impotence",
abstract = "Venous surgery for impotence is in a dynamic state. The drainage of the corpora cavernosa normally occurs through the crural veins or the cavernous veins and the deep dorsal penile vein. Patients with drainage seen on cavernosography only into a superficial system that persists after injection of intracavernous vasoacive agents are likely to have good results if this drainage is eliminated. This type of patient is not common. A surgical approach that attempts to eliminate the deep dorsal penile system or the crural veins is not as successful. Perhaps subtle arterial disease, concurrent presence of neurologic disease, and collateralization all add to the significant failure rate. Many failures of spontaneous erection will, however, respond to intracavernous injection of vasoactive agents postoperatively. Deep dorsal vein arterialization probably should be reserved for those patients who have an arterial component to their impotence as well as a venogenic cause.",
author = "Lewis, {R. W.}",
year = "1988",
month = "1",
day = "1",
language = "English (US)",
volume = "15",
pages = "115--121",
journal = "Urologic Clinics of North America",
issn = "0094-0143",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Venous surgery for impotence

AU - Lewis, R. W.

PY - 1988/1/1

Y1 - 1988/1/1

N2 - Venous surgery for impotence is in a dynamic state. The drainage of the corpora cavernosa normally occurs through the crural veins or the cavernous veins and the deep dorsal penile vein. Patients with drainage seen on cavernosography only into a superficial system that persists after injection of intracavernous vasoacive agents are likely to have good results if this drainage is eliminated. This type of patient is not common. A surgical approach that attempts to eliminate the deep dorsal penile system or the crural veins is not as successful. Perhaps subtle arterial disease, concurrent presence of neurologic disease, and collateralization all add to the significant failure rate. Many failures of spontaneous erection will, however, respond to intracavernous injection of vasoactive agents postoperatively. Deep dorsal vein arterialization probably should be reserved for those patients who have an arterial component to their impotence as well as a venogenic cause.

AB - Venous surgery for impotence is in a dynamic state. The drainage of the corpora cavernosa normally occurs through the crural veins or the cavernous veins and the deep dorsal penile vein. Patients with drainage seen on cavernosography only into a superficial system that persists after injection of intracavernous vasoacive agents are likely to have good results if this drainage is eliminated. This type of patient is not common. A surgical approach that attempts to eliminate the deep dorsal penile system or the crural veins is not as successful. Perhaps subtle arterial disease, concurrent presence of neurologic disease, and collateralization all add to the significant failure rate. Many failures of spontaneous erection will, however, respond to intracavernous injection of vasoactive agents postoperatively. Deep dorsal vein arterialization probably should be reserved for those patients who have an arterial component to their impotence as well as a venogenic cause.

UR - http://www.scopus.com/inward/record.url?scp=0023880464&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023880464&partnerID=8YFLogxK

M3 - Article

VL - 15

SP - 115

EP - 121

JO - Urologic Clinics of North America

JF - Urologic Clinics of North America

SN - 0094-0143

IS - 1

ER -