[Venogenic impotence. Surgical treatment: reasons of a partial disappointment].
Erectile dysfunction is a multifactorial disease. The veno-occlusive dysfunction is a frequent and important cause of erectile dysfunction and it is more broad than originally proposed because it seems to result from a defect within the corporal body rather than the veins themselves. It is important to emphasize that veno-occlusive dysfunction may be caused also by pharmacological and biochemical changes of the smooth muscle cells of the corpora. The reasons of the low success rate of the surgery in the long term results must likely to be attributed to primary changes in corporal smooth muscle function. These conclusions came from our experience and from the long-term results reported in the literature.
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Clinica Urologica dell'Università di Torino.
D006801:Humans; D018783:Impotence, Vasculogenic / Q000601:surgery*; D008297:Male