Document Detail


Indications for penile revascularization and long-term results.
MedLine Citation:
PMID:  10643524     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
J Zumbé; G Drawz; A Wiedemann; K Grozinger; U Engelmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Andrologia     Volume:  31 Suppl 1     ISSN:  0303-4569     ISO Abbreviation:  Andrologia     Publication Date:  1999  
Date Detail:
Created Date:  2000-02-10     Completed Date:  2000-02-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0423506     Medline TA:  Andrologia     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  83-7     Citation Subset:  IM    
Affiliation:
Urologische Abteilung, Marienhospital Gelsenkirchen, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Arteries / surgery
Arteriovenous Shunt, Surgical
Diabetes Complications
Humans
Impotence, Vasculogenic / surgery*
Male
Middle Aged
Penile Erection
Penis / blood supply*
Postoperative Complications
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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