Vascular surgery of the penis

Surgical treatment of venous insufficiency of the penis - is performed in case of defeat veno-occlusive mechanism of the penis.

History of surgery impotence began over 100 years ago and was trying to block venous outflow by ligation of deep dorsal vein. However, despite this long history of this method of treatment and apparent evidence of its effectiveness, this area of vascular surgery erectile dysfunction is the most controversial. The effectiveness of veno-occlusive surgery is not more than 50%, which is the reason for some skepticism about such operations.

Surgical treatment of arterial insufficiency of the penis - is shown in the case of insufficient blood flow to the cavernous tissue.

Arterial blood flow to the cavernous bodies is an essential component for the development of an erection. The causes of arterial insufficiency of the corpora cavernosa are divided into 5 categories:

* Arterial dysplasia
* Atherosclerosis
* Traumatic occlusion on the level gipogastralnyh and penile arteries
* Cavitary deficiency
* Arterial spasm

The effectiveness of microvascular arterial bypass surgery highly variable according to different authors, ranging from 20% to 80%. Such significant variations in performance dependent on the diagnostic criteria, principles of patient selection and the type of operation.

The essence of this type of surgical treatment is to create a bypass arterial blood flow to the penis. This type of surgical treatment of erectile dysfunction should be run on strict condition is preferable in young patients, in whom the cause of arterial insufficiency of the penis is the trauma of the perineum and pelvis.
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