Authors from Japan describe their results with penile revascularization in patients who had arteriogenic erectile dysfunction. They recommend that this type of surgery is most suited to younger patients, and suggested that attention be paid to the long-term outcome and the long-term adverse events.19, log rank test). Thirteen of the 18 patients in the Hauri group had venous dilatation in the deep dorsal, obturator, prostatic and the internal iliac veins. There were operative complications in four patients (hyperaemia of the glans in two, and one each with haemorrhage from the anastomosis site and scar contracture). CONCLUSIONSThe long-term efficacy rates (by the KaplanMeier method) of the Hauri and FFV5 procedures were both acceptable. The selection criteria gave acceptable outcomes from both procedures. Penile revascularization surgery is a treatment suitable only for young men and therefore attention must be given not only to the longterm outcome but also to long-term adverse events.