Document Detail


Nuclear medical assessment of penile hemodynamics following revascularization surgery.
MedLine Citation:
PMID:  9058519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Variations of Hauri's penile revascularization have been in clinical use since 1983. The hemodynamics of the so-called three-vessel anastomosis remain uncertain despite successful, clinically reproducible results. The goal of this study was to depict the increased perfusion of the erectile system of the penis following revascularization by means of the inferior epigastric artery. Ten milliliters of heparinized peripheral venous blood was drawn from 10 patients prior to surgery. The radioactively tagged erythrocytes (1 mCi 99mTc) were reinjected via an additional incision in the donor vessel proximal to the anastomosis following completion of the three-vessel anastomosis and intracavernous injection of 20 micrograms PGE1. Once again, blood was drawn during the tumescence phase from both a peripheral vein and the corpora cavernosa within the normal circulatory duration and compared to the original specimen. Eight of ten patients displayed evidence of primary reperfusion of the corpora cavernosa via the inferior epigastric artery as the donor vessel. Using strict indications, revascularization of the penis is an effective mode of therapy for arterial erectile dysfunction.
Authors:
J Zumbé; K Scheidhauer; F Kieslich; A Heidenreich; T Klotz; R Vorreuther; U Engelmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urologia internationalis     Volume:  58     ISSN:  0042-1138     ISO Abbreviation:  Urol. Int.     Publication Date:  1997  
Date Detail:
Created Date:  1997-05-09     Completed Date:  1997-05-09     Revised Date:  2006-10-30    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  39-42     Citation Subset:  IM    
Affiliation:
Klinik und Poliklinik für Urologie, Universität zu Köln, Deutschland.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods
Epigastric Arteries / surgery
Erythrocytes
Humans
Impotence, Vasculogenic / physiopathology,  radionuclide imaging*,  surgery*
Male
Penile Erection / physiology
Penis / blood supply,  radionuclide imaging*,  surgery
Regional Blood Flow / physiology
Technetium / diagnostic use*
Chemical
Reg. No./Substance:
7440-26-8/Technetium

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


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