Vascular Reconstructive Surgeries in 11 Cases of the Vasculogenic Impotence

Oh, Chung Hwan; Kim, Sae Chul

Abstract

We experienced 11 cases of the vascular reconstructive surgeries for the vasculogenic impotence from Nov, l985 to Aug, l986. The results as follows: l. The age distribution was from 24 to 35 year old. 2. The arterial insufficiencies were 4 cases, the venous leak 5 cases and the venous leak combined with the arterial insufficiency 2 cases. 3. Epigastrico-dorsal anastomosis in 1 case and epigastrico-cavernosus anastomosis in 3 cases were performed for the arterial insufficiency, and vein ligation in 3 cases or arterialization of deep dorsal vein with inferior epigastric artery in 2 cases for the venous leak. And we performed implantation of the arterialized vein with inferior epigastric artery into corpus cavernosum in 1 case of the venous leak combined with the arterial insufficiency. 4. The overall success rate were good in 7 cases, fair in 2 cases and bad in 2 cases. This results imply that vascular reconstructive surgery is a valuable surgical method prior to penile prosthetic surgery in the vasculogenic impotent patients.