Long-Term Results of Arterial Bypass Surgery for Impotence Secondary to Segmental Vascular Disease

No AccessJournal of UrologyClinical Urology: Original Article1 Sep 1996Long-Term Results of Arterial Bypass Surgery for Impotence Secondary to Segmental Vascular Disease Jonathan P. Jarow and Anthony J. DeFranzo Jonathan P. JarowJonathan P. Jarow and Anthony J. DeFranzoAnthony J. DeFranzo View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65678-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the long-term results of arterial bypass surgery in impotent men carefully selected for nonatherosclerotic arterial vascular disease. Materials and Methods: During a 7-year period only 11 of 1,352 impotent men (0.8 percent) were selected as ideal candidates for arterial vascular surgery. Initial evaluation included history, physical examination and a screening pharmacological erection test. Duplex ultrasonography was performed in patients who failed to respond adequately to pharmacological stimulation and were believed to be potential candidates for vascular surgery. Further evaluation included formal nocturnal sleep laboratory testing, dynamic infusion cavernosometry and arteriography. Dorsal artery bypass was performed in 9 patients and arterialization of the deep dorsal vein was done in 2. Results: Average followup was 50 months (range 12 to 84). Initial followup duplex ultrasonography revealed a significant increase in cavernous artery peak systolic blood flow velocity (p less than 0.001) and patent arterial anastomoses in all but 1 patient. The initial success rate without supplemental injection therapy was 82 percent and the final success rate was 64 percent. Even with long-term followup, 91 percent of the patients were improved from baseline, and were sexually active with (27 percent) or without (64 percent) injection therapy. 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Google Scholar From the Departments of Urology and Plastic Surgery, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina.© 1996 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byMunarriz R, Uberoi J, Fantini G, Martinez D and Lee C (2018) Microvascular Arterial Bypass Surgery: Long-Term Outcomes Using Validated InstrumentsJournal of Urology, VOL. 182, NO. 2, (643-648), Online publication date: 1-Aug-2009. Volume 156Issue 3September 1996Page: 982-985 Advertisement Copyright & Permissions© 1996 by American Urological Association, Inc.Metrics Author Information Jonathan P. Jarow More articles by this author Anthony J. DeFranzo More articles by this author Expand All Advertisement PDF downloadLoading ...