Sarramon J P, Malavaud B, Braud F, Bertrand N, Vaessen C, Rischmann P
Department of Urology, Centre Hospitalier Universitaire Rangueil, Toulouse, France.
J Urol. 2001 Aug;166(2):576-80.
The objective of vascular surgery for erectile dysfunction is to provide long-term improvement of erectile function. We evaluated that claim after deep dorsal vein arterialization by a cross-sectional study of multifaceted male sexual function with the validated International Index of Erectile Function (IIEF).
We performed a mail survey of male sexual function after deep dorsal vein arterialization in 68 consecutive literate men who underwent surgery between 1984 and 1998 for severe erectile dysfunction. The IIEF questionnaire and a questionnaire on patient characteristics were answered in a self-administered and nominative manner. Scores of the responders pertaining to the 5 domains of male sexuality were compared with those of the control groups used for the psychometric validation of the IIEF.
Of the patients 38 (55.9%) with a mean age plus or minus standard deviation of 46.5 +/- 11.9 years responded. Mean followup was 61.2 +/- 34.7 months. Compared to controls with erectile dysfunction controls men who underwent deep dorsal vein penile arterialization had significantly higher scores for erectile function, sexual desire, orgasmic function, intercourse satisfaction and overall satisfaction. Conversely compared with normal controls these patients reported significantly lower erectile function, orgasmic function, intercourse satisfaction and overall satisfaction scores, whereas sexual desire scores were similar in the 2 groups. No correlations were noted of the 5 IIEF domains with the duration of followup after arterialization. When erectile function scores were graded, 25.0% and 28.1% of patients reported no and or mild dysfunction, respectively, while 15.6% still complained of severe erectile dysfunction.
Long-term improvement in the various aspects of male sexual function was observed after deep dorsal vein penile arterialization in a significant proportion of patients.
血管手术治疗勃起功能障碍的目标是实现勃起功能的长期改善。我们通过一项横断面研究，采用经过验证的国际勃起功能指数（IIEF）对男性性功能进行多方面评估，以验证这一说法。
我们对1984年至1998年间因严重勃起功能障碍接受手术的68名识字男性进行了深背静脉动脉化术后男性性功能的邮件调查。IIEF问卷和一份关于患者特征的问卷由患者自行填写并署名回答。将应答者在男性性功能5个领域的得分与用于IIEF心理测量验证的对照组得分进行比较。
38名患者（55.9%）回复，其平均年龄加减标准差为46.5±11.9岁。平均随访时间为61.2±34.7个月。与勃起功能障碍对照组相比，接受深背静脉阴茎动脉化的男性在勃起功能、性欲、性高潮功能、性交满意度和总体满意度方面的得分显著更高。相反，与正常对照组相比，这些患者的勃起功能、性高潮功能、性交满意度和总体满意度得分显著更低，而两组的性欲得分相似。动脉化术后随访时间与IIEF的5个领域均无相关性。当对勃起功能得分进行分级时，分别有25.0%和28.1%的患者报告无功能障碍或轻度功能障碍，而仍有15.6%的患者抱怨存在严重勃起功能障碍。
相当一部分患者在深背静脉阴茎动脉化术后，男性性功能的各个方面均有长期改善。
