Erectile Dysfunction associated with Injuries

Song, Hee Won; Lee, Woong Hee; Choi, Hyung Ki

Abstract

PURPOSE: We reviewed recent 10 year experience in the diagnosis and treatment of patients with erectile dysfunction associated with various injuries.
MATERIALS AND METHODS
Seven hundred sixty patients were admitted for evaluation of erectile dysfunction from January 1988 to April 1997. Among the 760 patients, 90 patients had erectile dysfunction associated with injuries. Mean age was 34.1 years(range 20-63). We classified the types of injury and analyzed etiologies of erectile dysfunction caused by various injuries and treatment modalities.
RESULTS
Spinal cord injury was observed in 38(42.2%) patients, urethral injury in 11(12.2%), pelvic bone fracture in 5(5.5%), urethral injury with pelvic bone fracture in 22(24.4%), penile injury in 8(8.8%) and blunt trauma to the pelvis and perineum in 6(6.6%). Of the patients with spinal cord injury, neurogenic erectile dysfunction was observed in36(95%) patients. Erectile dysfunction by hemodynamic abnormalities was observed in 6(55%), 4(80%), 11(50%), 5(63%) and 6(100%) in patients with urethral injury, pelvic bone fracture, urethral injury with pelvic bone fracture, penile injury and blunt trauma to the pelvis and perineum, respectively. Among the 90 patients, 58 received surgical therapy and 21 intracavernosal injection therapy and the others were only evaluated for accurate diagnosis. Arterialization of deep dorsal vein was performed in 2 patients, ligation of deep dorsal vein in 2 and penile prosthesis implantation in 56.
CONCLUSIONS
A high frequency of hemodynamic abnormalities was observed in patients with erectile dysfunction caused by various injuries except for spinal cord injury. Among the patients who were treated surgically, penile prosthesis implantation was most successfully performed(96.6%).