[Impotence from venous leakage associated with another disease].
The exact mechanism of venous leaks remains obscure. However, we know that venous occlusion depends on two principal factors: the intrapenile arterial blood flow and the compliance of the corpora cavernosa. Since 1983, the authors have treated 23 patients presenting with mixed vasculogenic impotence. These patients, with a mean age of 57 years, were treated by arterio-arterial microanastomosis then ligation of the deep dorsal vein or by arterialization of the deep dorsal vein of the penis, using the epigastric artery as the donor artery. The results were encouraging and stable in the medium-term (mean follow-up: 24 months). 80% of patients were satisfied with their erections and their sex life.
Sarramon
J P
JP
Service d'Urologie, CHU Purpan, Toulouse.
D000368:Aged; D000714:Anastomosis, Surgical; D007172:Erectile Dysfunction / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000098:blood supply* / Q000601:surgery*; D014680:Veins / Q000601:surgery
Impuissance par fuites veineuses associées à une autre pathologie.