Schramek P, Engelmann U, Kaufmann F
Department of Urology, Allgemeine Poliklinik, Vienna, Austria.
J Urol. 1992 Apr;147(4):1028-31. doi: 10.1016/s0022-5347(17)37455-4.
We studied 35 patients with vasculogenic impotence who underwent an operation since 1986 and who were followed postoperatively for a minimum of 1.5 years. In all patients a microsurgical anastomosis was performed between the inferior epigastric artery and the arteriovenous shunt of the dorsal penile vessels. Potency was restored or improved in 77% of the patients during the long-term observation. Doppler or duplex sonography confirmed the same percentage of patent anastomoses. Through microsurgical modifications of the Hauri procedure and the interposition of free venous grafts, it was possible to operate further in 3 patients with short epigastric arteries and to treat intraoperative complications effectively in 1.
我们研究了35例自1986年以来接受手术且术后至少随访1.5年的血管性阳痿患者。所有患者均在腹壁下动脉与阴茎背血管动静脉分流之间进行了显微外科吻合。在长期观察期间，77%的患者勃起功能得以恢复或改善。多普勒或双功超声检查证实吻合口通畅的比例相同。通过对豪里手术进行显微外科改良并置入游离静脉移植物，可以对3例腹壁下动脉较短的患者进一步实施手术，并有效治疗了1例术中并发症。
