Document Detail

Penile revascularization--contemporary update.
MedLine Citation:
PMID:  23241636     Owner:  NLM     Status:  MEDLINE    
Contemporary therapies for erectile dysfunction are generally targeted towards older men and universally engage pharmacological and/or device related treatment options. Penile revascularization, using microvascular arterial bypass surgical techniques, is a non-pharmacological, non-device-related, and reconstructive surgical strategy for men with erectile dysfunction that was first described by Dr Vaclav Michal in 1973. Contemporary penile revascularization attempts to 'cure' pure arteriogenic erectile dysfunction in young men with arterial occlusive pathology in the distal internal pudendal, common penile or proximal cavernosal artery secondary to focal endothelial injury from blunt pelvic, perineal or penile trauma. A microvascular anastomosis is fashioned between the donor inferior epigastric and recipient dorsal penile artery. Increased perfusion pressure is theoretically communicated to the cavernosal artery via perforating branches from the dorsal artery. This article will review the history, indications and pathophysiology of blunt trauma-induced focal arterial occlusive disease in young men with erectile dysfunction, current surgical techniques utilized and results of surgery. Contemporary use of penile revascularization is a logical and wanted therapeutic option to attempt to reverse erectile dysfunction in young men who have sustained blunt pelvic, perineal or penile trauma.
Brian Dicks; Martin Bastuba; Irwin Goldstein
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Publication Detail:
Type:  Journal Article; Review     Date:  2012-12-17
Journal Detail:
Title:  Asian journal of andrology     Volume:  15     ISSN:  1745-7262     ISO Abbreviation:  Asian J. Androl.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-07     Completed Date:  2013-06-06     Revised Date:  2013-09-17    
Medline Journal Info:
Nlm Unique ID:  100942132     Medline TA:  Asian J Androl     Country:  China    
Other Details:
Languages:  eng     Pagination:  5-9     Citation Subset:  IM    
San Diego Sexual Medicine, San Diego, CA 92120, USA.
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MeSH Terms
Arterial Occlusive Diseases / complications,  surgery
Erectile Dysfunction / surgery*
Impotence, Vasculogenic / surgery
Middle Aged
Pelvis / injuries
Penis / blood supply,  injuries,  surgery*
Perineum / injuries
Vascular Surgical Procedures / methods*
Wounds, Nonpenetrating / complications

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