Venous surgery in erectile dysfunction Therapeutic strategy and results

ABSTRACT

Fifty seven [57] patients with venogenic impotence -were treated from period of 1989 to 1993. Their corporal veno-occlusive functions was evaluated by dynamic infusion cavernosography and cavernosometery [DICC]. Patients were divided into two groups on the basis of the type of venous operation performed. Thirty [30] patients were subjected to dorsal vein ligation with resection of 1.5 cm of deep dorsal vein. While 27 patients were subjected to deep dorsal vein ligation plus ligation of the proximal parts of both corporae The overall success rate in both groups was [38.7%] [22 patients out of 57]. Success rate was more in patients with dorsal vein ligation plus spongiolysis than in patients with dorsal vein ligation plus ligation of crorae. Data obtained in our series suggest that venous surgery should only be offered to a selected group of patients comprising young impotent males with venous leakage