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Evaluation of penile revascularization for erectile dysfunction: a 10-year follow-up

International Journal of Impotence Research volume 16, pages 181–186 (2004)Cite this article

Abstract

The objective of this study was to report long-term success rates for penile revascularization (PR) and investigate factors responsible for failures. During the past 10 y, data were obtained on 52 patients who underwent PR. Surgical technique was selected according to preoperative arteriographic findings. The mean age was 28.5 y and the mean follow-up was 70.8 months. Success was defined as satisfactory intercourse without additional therapy. Overall success was 48%. Patients under 28 y showed a 73% success rate vs 23% in the older ones (P=0.0003). Nonsmokers had a 57% success compared to 29% in smokers (P=0.05). The presence of venous leak and type of procedure had an insignificant impact on success (P=0.33 and 0.23 respectively). To conclude, this curative treatment option is limited to a selective population with vasculogenic erectile dysfunction. We found that the cure rate of this procedure is maintained and long-term follow-up shows good results, especially in the young nonsmokers.

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Authors and Affiliations

  1. Department of Neuro-Urology, Rambam Medical Center, Haifa, Israel

    Y Vardi, I Gruenwald, U Gedalia & S Nassar

  2. Unit of plastic surgery, Carmel Medical Center and the Bruce Rapapport faculty of Medicine, Technion, Haifa, Israel

    Y Har-Shai

  3. Department of Radiology, Rambam Medical Center, Haifa, Israel

    A Engel

  4. Department of Neurology, Rambam Medical Center, Haifa, Israel

    Y Har-Shai

Authors
  1. Y Vardi
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  2. I Gruenwald
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  3. U Gedalia
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  4. S Nassar
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  5. A Engel
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  6. Y Har-Shai
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Corresponding author

Correspondence to I Gruenwald.

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Vardi, Y., Gruenwald, I., Gedalia, U. et al. Evaluation of penile revascularization for erectile dysfunction: a 10-year follow-up. Int J Impot Res 16, 181–186 (2004). https://doi.org/10.1038/sj.ijir.3901120

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  • DOI: https://doi.org/10.1038/sj.ijir.3901120

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