Evaluation of Male Sexual Function by the International Index of Erectile Function After Deep Dorsal Vein Arterialization of the Penis

Sarramon, Jean‐Pierre; Malavaud, Bernard; Braud, Frédéric; Bertrand, Nicolas; Vaessen, Christophe; Rischmann, P.

doi:10.1016/s0022-5347(05)65987-3

Cited by 18 publications

(8 citation statements)

References 28 publications

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“…The subjectively reported efficacy of penile revascularization surgery is 40-85% [18][19][20][21][22][23][24]. These authors noted that prolonged patency of the anastomosis requires a technically sound procedure and that the afferent epigastric artery must not be kinked but linear.…”

Section: Iiv Iivmentioning

confidence: 99%

Penile revascularization surgery for arteriogenic erectile dysfunction: the long‐term efficacy rate calculated by survival analysis

et al. 2004

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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.

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Section: Iiv Iivmentioning

confidence: 99%

Penile revascularization surgery for arteriogenic erectile dysfunction: the long‐term efficacy rate calculated by survival analysis

et al. 2004

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“…13 The main goal of the treatment in patients with veno-occlusive dysfunction is to occlude the venous outflow to provide a longterm improvement of erectile function. 6,14 Several types of venous ligation surgery have been proposed for ED. Although the ligation of penile veins to cure impotence has a long history, beginning in early 1900, recently renewed interest in venous surgery has increased due to the low acceptance rate of penile implants as the first line therapy, difficulties and expense of mixed pharmacotherapy, and high dropout rate (more than 50%) for self-injection therapy in longitudinal studies.…”

Section: Discussionmentioning

confidence: 99%

“…19 It is reported to discriminate well between men with and without ED and has been used to assess the therapeutic efficacy and outcomes in patients with ED. 19 The erectile function domain of IIEF pertains to sexual experience within the last 4 weeks consists of 6 questions designed to address sensitively and specifically relevant aspects of erectile function 14,19 IIEF-EF domain could be used in clinical and research settings as a diagnostic aid for assigning degrees of ED severity. 19 Statistically IIEF-EF domain scores in all of our patients were significantly increased at post-operative 3 rd month.…”

Section: Discussionmentioning

confidence: 99%

“…All patients completed a brief self-administered questionnaire, the erectile function domain of the International Index of Erectile Function questionnaire (IIEF-EF). The severity of ED based on IIEF-EF domain score was classified as normal (≥26), mild (22-25), mild to moderate (17-21), moderate (11)(12)(13)(14)(15)(16)) and severe (6)(7)(8)(9)(10).…”

Section: Methodsmentioning

confidence: 99%

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Deep dorsal vein embolization with N-butyl-2-cyanoacrylate and lipiodol mixture in venogenic erectile dysfunction: early and late results

Kutlu¹,

Soylu²

2009

Radiology and Oncology

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“…Numerous operations have been developed to treat vasculogenic ED, and the common principle is restoration of blood flow in the cavernosal body [6]. According to many studies, penile revascularization is highly effective, even in the long term [7,8]. On the other hand, for some reason, e.g.…”

Section: Introductionmentioning

confidence: 99%

Penile revascularization in vasculogenic erectile dysfunction (ED): long‐term follow‐up

Kayıgίl¹,

Okulu²,

Aldemir³

et al. 2011

BJU International

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Study Type – Therapy (case series)Level of Evidence 4What’s known on the subject? and What does the study add?This study reflects the second largest series of revascularization operations performed in different etiologic and risk groups with the longest follow up. Beyond that this is the only study in which CC‐EMG techniques were used preoperatively to exclude some patients and to predict postoperative success in penile revascularization.OBJECTIVE• To determine the overall long‐term success of penile revascularization surgery in the treatment of vasculogenic erectile dysfunction (ED) and also to investigate the effect of risk factors on the results of a modified Furlow–Fisher technique.PATIENTS AND METHODS• Between 1999 and 2010, 125 men with a mean (sd, range) age of 43.2 (11.3, 23–69) years underwent penile revascularization surgery. In all, 110 men completed the long‐term follow‐up with a mean follow‐up of 73.2 months.• Diagnostic evaluations, penile colour Doppler ultrasonography, corpus cavernosum electromyography, and cavernosometry, were performed in all the men before surgery.• The efficacy of the surgery was assessed as improvement or failure according to the change in the five‐item version of the International Index of Erectile Function (IIEF‐5). A ≥5 point increase in the IIEF‐5 score during the latest patient visit after surgery compared with that before surgery was regarded as improvement (surgical success).RESULTS• The mean (sd) IIEF‐5 score was 7.3 (3.2) before surgery and at the end of the follow‐up periodit was 16.8 (3.1).• The success rates were 81.8% at 3 months, 77.2% at 1 year, 70% at 2 years, 66.3% at 3 years and 63.6% at 5 years after surgery in the men who achieved a no‐ED threshold score of >26 in the IIEF‐15.• The success rate was the highest in the men with no risk factors (92.8%).• Seven patients (6.36%) showed signs of glans hypervascularization as a major complication.CONCLUSIONS• Penile revascularization surgery has not been widely used by urologists probably due to the technical difficulties and the use of phosphodiesterase type 5 inhibitors.• However, with reported high rates of noncompliance or failure of oral pharmacotherapy it seems likely that this surgery will become more popular in the near future.

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Evaluation of Male Sexual Function by the International Index of Erectile Function After Deep Dorsal Vein Arterialization of the Penis

Abstract: Long-term improvement in the various aspects of male sexual function was observed after deep dorsal vein penile arterialization in a significant proportion of patients.

Cited by 18 publications

References 28 publications

Penile revascularization surgery for arteriogenic erectile dysfunction: the long‐term efficacy rate calculated by survival analysis

Penile revascularization surgery for arteriogenic erectile dysfunction: the long‐term efficacy rate calculated by survival analysis

Deep dorsal vein embolization with N-butyl-2-cyanoacrylate and lipiodol mixture in venogenic erectile dysfunction: early and late results

Penile revascularization in vasculogenic erectile dysfunction (ED): long‐term follow‐up

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