Erectile dysfunction is defined as the inability to achieve penile erection necessary for sexual intercourse or to sustain erection sufficiently. Although the treatment options for erectile dysfunction are limited, the most common surgical treatment is penile prosthesis implantation. In addition, penile revascularization of the penis is very effective in the treatment of erectile dysfunction due to different vasculogenic reasons, especially pudendal artery occlusion, after perineal trauma. Modified Furlow Fisher technique including anastomosis of the inferior epigastric artery to the penile dorsal vein is a successful treatment option among the revascularization techniques. Despite invasive preliminary evaluations such as duplex Doppler ultrasound, dynamic cavernosometry, selective internal pudendal arteriography, and the long and difficult surgical procedure, it is highly effective in particularly selected young patients.
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