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• W2031803130 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Feb 2000EMBOLIZATION OF THE DEEP DORSAL VEIN FOR THE TREATMENT OF ERECTILE IMPOTENCE DUE TO VENO-OCCLUSIVE DYSFUNCTION LEVENT PEŞKİRCİOĞLU, İLTERİŞ TEKİN, FATİH BOYVAT, AYHAN KARABULUT, and HAKAN ÖZKARDEŞ LEVENT PEŞKİRCİOĞLULEVENT PEŞKİRCİOĞLU More articles by this author , İLTERİŞ TEKİNİLTERİŞ TEKİN More articles by this author , FATİH BOYVATFATİH BOYVAT More articles by this author , AYHAN KARABULUTAYHAN KARABULUT More articles by this author , and HAKAN ÖZKARDEŞHAKAN ÖZKARDEŞ More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67904-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluate the effectiveness of deep dorsal vein embolization for the treatment of venous impotence. Materials and Methods: A total of 32 impotent patients with veno-occlusive dysfunction underwent deep dorsal vein embolization. The condition was suspected based on findings of penile Doppler ultrasonography and cavernosometry. The diagnosis was confirmed with pharmacocavernosography that appeared to delineate venous leakage. During the procedure we isolated and cannulated the deep dorsal vein through a small dorsal penile incision with the patient under local anesthesia. We used a mixture of the tissue glue, N-butyl cyanoacrylate, and lipodol for embolization, with a total volume of 5 ml. injected antegrade into the previously catheterized dorsal vein under fluoroscopic control. As soon as we observed the occluded veins we performed repeat pharmacocavernosography. At 3-month followup patients were reassessed with history and cavernosometry. Followup ranged from 12 to 36 months (median 25). Results: Of 32 patients 22 (68.7%) regained sexual activity, which was confirmed by cavernosometry. The remaining 10 patients (31.3%) experienced little if any clinical response, which correlated with cavernosometry. There were no significant side effects. Conclusions: Deep dorsal vein embolization for venogenic impotence is simple, effective and safe, and appears to be cost-effective. The results obtained in this limited number of patients are promising and justify trials in larger groups. References 1 : Male sexual dysfunction. In: . Norwalk, Connecticut: Appleton and Lange1995: 772. chapt. 46. Google Scholar 2 : The penis as a vascular organ. The importance of corporal smooth muscle tone in the control of erection. Urol Clin North Am1995; 22: 727. Google Scholar 3 : Penile venous surgery for cavernosal venous leakage: long-term results and retrospective studies. Urol Int1993; 50: 71. Google Scholar 4 : Venous surgery in the patient with erectile dysfunction. 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Neurosurgery1999; 44: 484. Google Scholar 11 : Embolization of neurosurgical lesions involving the ophthalmic artery. Neurosurgery1998; 43: 1298. Google Scholar 12 : Injection sclerotherapy for gastric varices using N-butyl-2-cyanoacrylate and ethanolamine oleate. Hepatogastroenterology1998; 45: 1155. Google Scholar 13 : Estimation of usefulness of N-butyl-2-cyanoacrylate-lipiodol mixture in transcatheter arterial embolization for urgent control of life-threatening massive bleeding from gastric or duodenal ulcer. J Gastroenterol Hepatol1996; 11: 252. Google Scholar 14 : Posttraumatic high-flow priapism treated by N-butyl-cyanoacrylate embolization. Cardiovasc Intervent Radiol1996; 19: 278. Google Scholar 15 : Embolization of a high-output postnephrectomy aortocaval fistula with Gianturco coils and cyanoacrylate. Cardiovasc Intervent Radiol1996; 19: 56. Google Scholar 16 : Pelvic arteriovenous aneurysm caused by transurethral resection of the prostate: successful management by intra-arterial embolization. Urol Int1998; 60: 191. Google Scholar From the Departments of Urology and Radiology, Başkent University School of Medicine, and the Urology Clinic of The Ministry of Health Ankara Hospital, Ankara, Turkey© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySOFER M, GREENSTEIN A, CHEN J, NADU A, KAVER I and MATZKIN H (2018) Immediate Closure of Nephrostomy Tube Wounds Using a Tissue Adhesive: A Novel Approach following Percutaneous Endourological ProceduresJournal of Urology, VOL. 169, NO. 6, (2034-2036), Online publication date: 1-Jun-2003. Volume 163Issue 2February 2000Page: 472-475 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.KeywordsembolizationpenisimpotencetherapeutictherapeuticsMetricsAuthor Information LEVENT PEŞKİRCİOĞLU More articles by this author İLTERİŞ TEKİN More articles by this author FATİH BOYVAT More articles by this author AYHAN KARABULUT More articles by this author HAKAN ÖZKARDEŞ More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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