title: Venogenic erectile dysfunction in Klippel-Trenaunay syndrome.
abstract: OBJECTIVE
  To report the management of erectile dysfunction (ED) secondary to Klippel-Trenaunay syndrome (KTS), a rare congenital vascular disease.
  
  
  METHODS
  Three men (mean age 33 years) with vasogenic ED secondary to KTS underwent venous ligation surgery of the affected veins. These men had tried various treatments for their ED, including phosphodiesterase type 5 inhibitors and intracavernosal injection therapy, with little success.
  
  
  RESULTS
  There was abnormal penile venous drainage in all three men, probably associated with congenital vascular malformation from KTS. After venous ligation the men were followed for 5 years and all reported good quality erections satisfactory for sexual intercourse.
  
  
  CONCLUSIONS
  ED in men with KTS may be due to venous drainage anomalies and if confirmed, venous ligation surgery should be performed as this gives the best chance of a complete resolution.
authors.affiliation: St. Peter's Andrology Centre and Institute of Urology, London, UK. agrawalvineet@hotmail.com
authors.forename: Vineet
authors.initials: V
authors.lastname: Agrawal
authors.forename: Suks
authors.initials: S
authors.lastname: Minhas
authors.forename: David J
authors.initials: DJ
authors.lastname: Ralph
mesh_terms: D000328:Adult; D004322:Drainage / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D018783:Impotence, Vasculogenic / Q000209:etiology / Q000601:surgery*; D007715:Klippel-Trenaunay-Weber Syndrome / Q000150:complications*; D008026:Ligation / Q000379:methods; D008297:Male; D016896:Treatment Outcome