title: Bilateral external and internal pudendal veins embolization treatment for venogenic erectile dysfunction.
abstract: Erectile dysfunction (ED) or impotence is estimated to affect around 20-30 million men in the United States (Rhoden et al, 2002). Vascular etiology is purported to be the most prevalent cause of ED in the elderly population, with venogenic ED being the most common subtype (Shafik et al, 2007; Rebonato et al, 2014). A patient, who developed severe venogenic ED, was referred to interventional radiology after ineffective pharmaceutical treatments. Selective embolization of bilateral external and internal pudendal veins was performed through accessing the deep dorsal vein of penis. Subsequent venogram verified successful embolization with stasis within the outflow of the deep dorsal vein of penis. Close to 6 weeks after the procedure, the patient purports to be able to achieve approximately 65% of full penile erection and complete penile erection with penile stimulation and 0.25 mL injection of alprostadil after 25 minutes.
authors.affiliation: Medical College of Georgia, Augusta University, 1120 15th St. Augusta, GA 30912, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Lee
authors.affiliation: Department of Radiology, Interventional Radiology Section, Augusta University Medical Center, 1120 15th St. Augusta, GA 30912, USA.
authors.forename: Eran
authors.initials: E
authors.lastname: Rotem
authors.affiliation: Department of Urology, Augusta University Medical Center, 1120 15th St. Augusta, GA 30912, USA.
authors.forename: Ronald
authors.initials: R
authors.lastname: Lewis
authors.affiliation: Medical College of Georgia, Augusta University, 1120 15th St. Augusta, GA 30912, USA.
authors.forename: Satyam
authors.initials: S
authors.lastname: Veean
authors.affiliation: Department of Radiology, Augusta University Medical Center, 1120 15th St. Augusta, GA 30912, USA.
authors.forename: Ashwin
authors.initials: A
authors.lastname: Rao
authors.affiliation: Department of Radiology, Augusta University Medical Center, 1120 15th St. Augusta, GA 30912, USA.
authors.forename: Alison
authors.initials: A
authors.lastname: Ulbrandt
keywords: Embolization; Venogenic erectile dysfunction; Venous leakage