[Leakage correction by resection of the deep dorsal penis vein. Assessment of results after 4 years of venous potency surgery].
Resection of the deep dorsal vein is accepted as a short-term working procedure to reestablish erection in patients suffering from venous leakage. After 4 years with a standardized diagnostic and surgical program for pathologic venous drainage, we are now able to describe the outcome of vein resection in 51 men, whom we have treated 1-4 years before follow-up examination. After a median follow-up of 20 months, long-lasting full erection can be reported in 28 men. Of the remaining 23 men, reestablished erectile function decreased within 1 year in 8, while the operation failed in 15. Whereas the site of pathologic venous drainage and preoperative maintenance flow rates do not influence surgical outcome, a moderate arterial cofactor has become obvious in a large proportion of the unsuccessfully treated cases. In 14 of these men, papaverine testing has now become positive, so that penile self-injection of the drug makes adequate sexual intercourse possible. All patients with a postoperative negative papaverine reaction again have all the signs of a persistent pathological venous drainage; only in 2 of these cases has an ectopic vein been successfully resected.
Weidner
W
W
Urologische Universitätsklinik Giessen.
Weiske
W H
WH
Rudnick
J
J
D000328:Adult; D001783:Blood Flow Velocity / Q000187:drug effects; D007172:Erectile Dysfunction / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010208:Papaverine; D010410:Penile Erection / Q000187:drug effects; D010413:Penis / Q000098:blood supply*; D011183:Postoperative Complications / Q000175:diagnosis; D014463:Ultrasonography; D014680:Veins / Q000601:surgery; D014689:Venous Insufficiency / Q000601:surgery*
D010208:Papaverine
"Leakage"-Korrektur durch Resektion der Vena dorsalis penis profunda. Bestandsaufnahme nach 4 Jahren venöser Potenzchirurgie.