Longterm Results of Penile Vein Ligation for Impotence of Venous Leakage

Abstract The indication for venous surgery in the treatment of erectile dysfunction have been reduced as evidence of unsatisfactory long - term results has emerged. The short and long - term results of venous surgery were assesesd in patients with veno - occlusive dysfunction who were selected in the basis of thorough diagnostic criteria. All of patients in this study were unresponsive to maximum recommended does of intracavernous injection theraphy. All of patients provided a detailed medical and sexual history underwent a compelete physical examination. Douplex Doupler US of penile arteries and cavernosometry and cavernosograpy was also performed, and serum testosterone concentration was determined. The Study group included 16 impotent men aged from 27 to 48 (average, 37 years) Who underwent complex penile venous surgery. Of the 16 patients, 15 (93.7%) had normal erections within one year after surgery but one patient needed to injection (20 mg papaverine) for erection. At long - term follow up, from 13 to 60 months (average 60 months) spontaneous erection were demonstrated in 11 patients (68.7%). It would appear that the short and long-term complex venous surgery can result in more successful outcomes, provided that it performs in case of pure and high-degree veno - occlusive dysfunction as well as careful selection of patients.