Selektionskriterien zur penilen Revaskularisation bei arteriell bedingter erektiler Dysfunktion

Nuclear Medical Assessment of Penile Hemodynamics following Revascularization Surgery

“…Filling of the corpora cavernosa via the circumflex veins and increased perfusion of the a. dorsalis penis, leading in turn to an increased perfusion of the aa. penis profunda by way of anastomosis, can be considered successful based on observations of the clinical situation, hyperemia of the glans and confirmed anatomical relationships [12,20]. In this study, we were able to show the increased perfusion of the cavernous bodies of the penis.…”

“…Since penile revascularization is an elective procedure, it should be indicated when predefined selection criteria are fulfilled [12], The hemodynamics of Hauri's penile revascularization method remain unclear despite clinically reproducible results [10,13]. The goal of this study was to deliver proof of the increased perfusion of the penis erectile system fol lowing inferior epigastric arterial revascularization sur gery.…”

“…Various groups have reported on follow-up examinations of patients with spontaneous erections postoperatively. Proof of increased perfusion of the cavernous bodies was not available due to the subjectivencss of con trol parameters [12]. Alone Breza et al [18], in animal experimental models involving anastomosis of the caver nous veins, and Paik et al [19], following artcrialization of profound dorsal veins, were able to detect a pressure increase within the erectile system and thus an increase in perfusion.…”

Arteriosclerosis of Penile Arteries: Histological Findings and Their Significance in the Treatment of Erectile Dysfunction

“…The indication for vascular surgery should be limited to patients with impaired arterial blood flow due to a single stenosis without general vascular arteriosclerosis or congenital vascular hypo-or dysplasia and to patients with vascular lesions after pelvic trauma [8]. Patients younger than 40 years are not affected by arteriosclerotic multifocal lesions and are more likely to benefit from bypass surgery.…”

Penile Revascularization Surgery in Erectile Dysfunction

“…(5) According to the literature, hyperemia of the glans appears in about 40% [14,[18][19][20], which represents a high complication rate. Yet the majority of authors [21][22][23][24] report on arteriovenous anastomosis according to Virag [9], and we are not astonished to hear this for this technique must be considered rather unphysiologic.…”