Same-Session Dorsal Vein Ligation and Testing by Intracavernous Injection Prior to Penile Prosthesis Implantation (DVL-ICI-PPI)

Shaeer, Osama; Shaeer, Kamal

doi:10.1111/jsm.12582

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…31 Still, there are reports of long-lasting efficacy in selected cases. 5 The validity of the vascular surgery or the endovascular procedure depends on highly select candidates, well-designed procedure plan, and operation technique. According to our results, Figure 12.…”

Section: The Penile Drainage Veins and Treatment Implicationmentioning

confidence: 99%

Computed tomography cavernosography combined with volume rendering to observe venous leakage in young patients with erectile dysfunction

et al. 2018

BJR

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Section: The Penile Drainage Veins and Treatment Implicationmentioning

confidence: 99%

Computed tomography cavernosography combined with volume rendering to observe venous leakage in young patients with erectile dysfunction

et al. 2018

BJR

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External Mechanical Devices and Vascular Surgery for Erectile Dysfunction

Trost

Munárriz

Wang

et al. 2016

The Journal of Sexual Medicine

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Introduction The field of sexual medicine is continuously advancing, with novel outcomes reported on a regular basis. Given the rapid evolution, updated guidelines are essential to inform practicing clinicians on best practices. Aim To summarize the current literature and provide clinical guidelines on penile traction therapy, vacuum erection devices, and penile revascularization. Methods A consensus panel was held with leading sexual medicine experts during the 2015 International Consultation on Sexual Medicine (ICSM). Relevant literature was reviewed and graded based on Oxford criteria to develop evidence-based guideline and consensus statements. Main Outcome Measures The development of clinically relevant guidelines. Results Penile traction therapy is a viable therapy to modestly improve penile length as a primary therapy, before penile prosthesis placement in men with decreased penile length or after surgery for Peyronie's disease. It also might have a role in the acute phase of Peyronie's disease but has inconsistent outcomes in the long-term phase. Vacuum erection devices are effective in creating an erection satisfactory for intercourse, even in difficult-to-treat populations. They also might be used in the post-prostatectomy setting to maintain penile length but have insufficient evidence as a penile rehabilitation therapy. For vasculogenic erectile dysfunction, men with suspected arterial insufficiency can be evaluated with penile Duplex Doppler ultrasonography and confirmatory angiography. Penile revascularization procedures have consistently demonstrated benefits in very select patient populations; however, inadequate data exists to suggest the superiority of one technique. Men with vascular risk factors are likely poor candidates for penile revascularization, although veno-occlusive dysfunction and age are less significant. Therapies for treating primary veno-occlusive dysfunction are not recommended and should be reserved for clinical trials. Conclusions Since the prior ICSM meeting, multiple developments have occurred in external mechanical devices and penile revascularization for the treatment of erectile and sexual dysfunction. Sexual medicine clinicians are encouraged to review and incorporate recommendations as applicable to their scope of practice.

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Surgical niche for the treatment of erectile dysfunction

Hsieh

Hsu²,

Chang

et al. 2019

Int J of Urology

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Penile erection implicates arterial inflow, sinusoidal relaxation and corporoveno‐occlusive function. By far the most widely recognized vascular etiologies responsible for organic erectile dysfunction can be divided into arterial insufficiency, corporoveno‐occlusive dysfunction or mixed type, with corporoveno‐occlusive dysfunction representing the most common finding. In arteriogenic erectile dysfunction, corpora cavernosa show lower oxygen tension, leading to a diminished volume of cavernosal smooth muscle and consequential corporoveno‐occlusive dysfunction. Current studies support the contention that corporoveno‐occlusive dysfunction is an effect rather than the cause of erectile dysfunction. Surgical interventions have consisted primarily of penile revascularization surgery for arterial insufficiency and penile venous surgery for corporoveno‐occlusive dysfunction, whatever the mechanism. However, the surgical effectiveness remained debatable and unproven, mostly owing to the lack of consistent hemodynamic assessment, standardized select patient and validated outcome measures, as well as various surgical procedures. Penile vascular surgery has been disclaimed to be the treatment of choice based on the currently available guidelines. However, reports on penile revascularization surgery support its utility in treating arterial insufficiency in otherwise healthy patients aged <55 years with erectile dysfunction of late attributable to arterial occlusive disease. Furthermore, it is noteworthy that penile venous surgery might be beneficial for selected patients with corporoveno‐occlusive dysfunction, especially with a better understanding of the innovated venous anatomy of the penis. Penile vascular surgery might remain a viable alternative for the treatment of erectile dysfunction, and could have found its niche in the possibility of obtaining spontaneous, unaided and natural erection.

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Same-Session Dorsal Vein Ligation and Testing by Intracavernous Injection Prior to Penile Prosthesis Implantation (DVL-ICI-PPI)

Cited by 3 publications

References 5 publications

Computed tomography cavernosography combined with volume rendering to observe venous leakage in young patients with erectile dysfunction

Computed tomography cavernosography combined with volume rendering to observe venous leakage in young patients with erectile dysfunction

External Mechanical Devices and Vascular Surgery for Erectile Dysfunction

Surgical niche for the treatment of erectile dysfunction

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