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Eur J Radiol ; 82(3): 504-7, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23219214

ABSTRACT

OBJECTIVES: To evaluate the impact of endovascular embolisation therapy in men with erectile impotence due to veno-occlusive dysfunction. METHODS: We retrospectively evaluated 29 patients with a history of erectile impotence due to veno-oclusive dysfunction confirmed by pharmacocavernosometry and cavernosography. All underwent endovascular embolisation therapy over transfemoral approach. After positioning the catheter system at the target level heights, embolisation with N-butyl-2-cyanoacrylate (Histoacryl(®)) was performed. Technical and clinical success as well as major and minor complications were evaluated. RESULTS: All procedures were performed without any major or minor events. Complication rate was 0%. Technical success was achieved in 27/29 (93.1%). Two patients failed for anatomical reasons. Overall clinical success was achieved in 24/27 (88.8%) patients with recovering from E1 (poor tumescense/no rigidity) to E4 (good tumescence/intermediate rigidity) in 11/27 (40.7%), E1 to E5 in 8/27 (tumescence/normal rigidity) (29.6%) and E1 to E3 (good tumescence/poor rigidity) in 5/27 (18.5%) respectively. 3/27 (11.1%) received no change in ED severity score. CONCLUSION: Endovascular embolisation therapy for veno-occlusive dysfunction in erectile impotence is a safe and effective therapeutic option with low complication rate and highly technical and clinical success rates.


Subject(s)
Embolization, Therapeutic/methods , Enbucrilate/therapeutic use , Hemostatics/therapeutic use , Impotence, Vasculogenic/diagnosis , Impotence, Vasculogenic/therapy , Venous Insufficiency/diagnosis , Venous Insufficiency/therapy , Adult , Humans , Impotence, Vasculogenic/etiology , Male , Middle Aged , Treatment Outcome , Venous Insufficiency/etiology , Young Adult
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