title: Endovascular embolisation therapy in men with erectile impotence due to veno-occlusive dysfunction.
abstract: OBJECTIVE
  To evaluate the impact of endovascular embolisation therapy in men with erectile impotence due to veno-occlusive dysfunction.
  
  
  METHODS
  We retrospectively evaluated 29 patients with a history of erectile impotence due to veno-oclusive dysfunction confirmed by pharmacocavernosometry and cavernosography. All underwent endovascular embolisation therapy over transfemoral approach. After positioning the catheter system at the target level heights, embolisation with N-butyl-2-cyanoacrylate (Histoacryl(®)) was performed. Technical and clinical success as well as major and minor complications were evaluated.
  
  
  RESULTS
  All procedures were performed without any major or minor events. Complication rate was 0%. Technical success was achieved in 27/29 (93.1%). Two patients failed for anatomical reasons. Overall clinical success was achieved in 24/27 (88.8%) patients with recovering from E1 (poor tumescense/no rigidity) to E4 (good tumescence/intermediate rigidity) in 11/27 (40.7%), E1 to E5 in 8/27 (tumescence/normal rigidity) (29.6%) and E1 to E3 (good tumescence/poor rigidity) in 5/27 (18.5%) respectively. 3/27 (11.1%) received no change in ED severity score.
  
  
  CONCLUSIONS
  Endovascular embolisation therapy for veno-occlusive dysfunction in erectile impotence is a safe and effective therapeutic option with low complication rate and highly technical and clinical success rates.
authors.affiliation: HELIOS Hospital Erfurt, Department of diagnostic and interventional Radiology and Neuroradiology, Nordhaeuser Str. 74, 99089 Erfurt, Germany. rene.aschenbach@helios-kliniken.de
authors.forename: R
authors.initials: R
authors.lastname: Aschenbach
authors.forename: T
authors.initials: T
authors.lastname: Steiner
authors.forename: M J
authors.initials: MJ
authors.lastname: Kerl
authors.forename: S
authors.initials: S
authors.lastname: Zangos
authors.forename: S
authors.initials: S
authors.lastname: Basche
authors.forename: T J
authors.initials: TJ
authors.lastname: Vogl
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000627:therapeutic use*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D018783:Impotence, Vasculogenic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014689:Venous Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D055815:Young Adult
chemical_list: D006490:Hemostatics; D004659:Enbucrilate