| Long-term results of arterial bypass surgery for impotence secondary to segmental vascular disease. | |
| | |
MedLine Citation:
|
PMID: 8709379 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: We evaluated the long-term results of arterial bypass surgery in impotent men carefully selected for nonatherosclerotic arterial vascular disease. MATERIALS AND METHODS: During a 7-year period only 11 of 1,352 impotent men (0.8%) were selected as ideal candidates for arterial vascular surgery. Initial evaluation included history, physical examination and a screening pharmacological erection test. Duplex ultrasonography was performed in patients who failed to respond adequately to pharmacological stimulation and were believed to be potential candidates for vascular surgery. Further evaluation included formal nocturnal sleep laboratory testing, dynamic infusion cavernosometry and arteriography. Dorsal artery bypass was performed in 9 patients and arterialization of the deep dorsal vein was done in 2. RESULTS: Average followup was 50 months (range 12 to 84). Initial followup duplex ultrasonography revealed a significant increase in cavernous artery peak systolic blood flow velocity (p < 0.001) and patent arterial anastomoses in all but 1 patient. The initial success rate without supplemental injection therapy was 82% and the final success rate was 64%. Even with long-term followup, 91% of the patients were improved from baseline, and were sexually active with (27%) or without (64%) injection therapy. CONCLUSIONS: Arterial bypass surgery can be successful in select impotent patients without generalized atherosclerosis or other risk factors for impotence. Further refinement of screening parameters may improve patient selection and long-term results of vascular surgery. |
| | |
Authors:
|
J P Jarow; A J DeFranzo |
Related Documents
:
|
15896619 - Clinical experience with the novare enclose ii manual proximal anastomotic device durin... 17670469 - Off-pump treatment of coronary artery perforation after percutaneous intervention with ... 7457039 - Advantages and disadvantages of the use of double-lumen tubes in pulmonary surgery. 22300939 - Effects of perianeurysmal environment during the growth of cerebral aneurysms: a case s... 11453129 - Coronary artery bypass grafting nine months after pneumonectomy. 10609899 - Total arterial coronary revascularization and factors influencing in-hospital mortality. 22194499 - Pulmonary artery occlusion with ethylene vinyl alcohol copolymer in patients with hemop... 22728079 - Benzenesulfonamide attenuates monocrotaline-induced pulmonary arterial hypertension in ... 23111019 - Excellent short- and long-term outcomes after concomitant aortic valve replacement and ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of urology Volume: 156 ISSN: 0022-5347 ISO Abbreviation: J. Urol. Publication Date: 1996 Sep |
Date Detail:
|
Created Date: 1996-09-12 Completed Date: 1996-09-12 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376374 Medline TA: J Urol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 982-5 Citation Subset: AIM; IM |
Affiliation:
|
Department of Urology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Arteries / surgery Follow-Up Studies Humans Impotence, Vasculogenic / etiology, surgery* Male Middle Aged Penis / blood supply* Postoperative Complications / epidemiology Time Factors Vascular Diseases / complications Vascular Surgical Procedures / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Penile sensitivity in patients with primary premature ejaculation.
Next Document: The hemodynamic influence of the ischiocavernosus muscles on erectile function.