[Retrograde venous occlusion--therapy of impotence of venous origin].
Retrograde occlusion of penile drainage veins can produce improvement in patients with impotence due to venous leaks. We performed 50 transfemoral and three transjugular procedures; 46 (86%) were technically successful. Clinical improvement was found in 24 out of the 46 procedures (52%). In 20 patients spontaneous intercourse became possible, in four this occurred after intracavernous injection of vaso-active substances. In eleven patients there was deterioration after one to twenty months; in seven this was treated by repeated venous occlusion. In 13 patients improvement has been maintained over a period of one to thirty months (average 10.5 months). There were no complications.
Schild
H H
HH
Klinik mit Poliklinik für Radiologie, Johannes-Gutenberg-Universität Mainz.
Müller
S C
SC
Mildenberger
P
P
Strunk
H
H
Thelen
M
M
D000792:Angiography / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods*; D007172:Erectile Dysfunction / Q000209:etiology / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010413:Penis / Q000098:blood supply*; D015641:Radiography, Interventional; D014680:Veins