Indications for penile revascularization and long-term results.
The purpose of this study was to analyse long-term results of penile revascularization using Hauri's method in 124 patients with a mean follow-up of 54 months. Of 176 patients undergoing this procedure, 124 were available for detailed analysis. The patients ranged in age from 22 to 71. A total of 25.8% of the patients (32/124) responded to intracavernous injection (ICI). Postoperatively, 74 patients (59.7%) exhibited spontaneous erections. Patients were classified as 'satisfied' or 'dissatisfied'. In those who were satisfied, a high correlation was found (63/74 = 85%) between graft patency, as judged by ultrasound, and erectile function. The benefit for non-responders to ICI (60/92) was higher than for responders (14/32). Only five of 12 diabetics profited from penile revascularization. A serious complication was glans hyperemia in 9/124 cases (7%). Based on this experience, the following indicators are recommended for case selection: (i) non-responder to ICI; (ii) age less than 55 years; (iii) nondiabetic; (iv) cavernous leakage excluded; (v) stenosis in the internal pudendal artery.
Zumbé
J
J
Urologische Abteilung, Marienhospital Gelsenkirchen, Germany.
Drawz
G
G
Wiedemann
A
A
Grozinger
K
K
Engelmann
U
U
D000328:Adult; D000367:Age Factors; D000368:Aged; D001158:Arteries / Q000601:surgery; D001166:Arteriovenous Shunt, Surgical; D048909:Diabetes Complications; D006801:Humans; D018783:Impotence, Vasculogenic / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000098:blood supply*; D011183:Postoperative Complications; D016896:Treatment Outcome