Is dorsale penile vein ligation (dpvl) still a treatment option in veno-occlusive dysfunction?
OBJECTIVE
To determine the long-term results of the DPVL for the treatment of venous impotence.


METHODS
The long term results of DPVL in 134 patients were interviewed. The mean age was 39.2 (range 21-72). Power color doppler imaging, pharmacocavernography/dynamic cavernosometry were performed. Postoperatively, all the patients were controlled in the 6th month, first year and, if possible, once a year. The mean follow-up was 54.8 (14-76) months. Postoperative outcomes were classified into three groups: complete spontaneous erection (CR), response to pharmacotherapy (PR) or no satisfactory improvement (NR).


RESULTS
The short-term success in the 6th month according to above mentioned was 38.8%, 18.6% and 42.5%; and in the first year was 19.4%, 14.9% and 65.6% respectively. The result in 35 patients whose follow-up was at least 5 years (mean 67 months) was 11.4%, 14.3% and 74.3% respectively. Positive prognostic factors were preoperative age <40, duration of erectile dysfunction <2 years, non-smoker patients, non neurogenic disease and distal disease. With all these parameters present, long-term success (CR, PR) rose from 33.6% to 55.9% (P < 0.001).


CONCLUSIONS
Long-term success for unselected patients undergoing DPVL is disappointing; however, careful patient selection significantly improves long-term results.
Cakan
M
M
Department of Urology, SSK Dişkapi Training Hospital.
Yalçinkaya
F
F
Demirel
F
F
Ozgünay
T
T
Altuğ
U
U
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D018783:Impotence, Vasculogenic / Q000209:etiology / Q000601:surgery*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000098:blood supply*; D013997:Time Factors; D014652:Vascular Diseases / Q000150:complications*