[Role of pelvi-perineal rehabilitation in the treatment of cavernous venous leakage].

The pathophysiological mechanisms, investigation and treatment of erectile dysfunction related to venous leakage are highly controversial. Although surgery appears to be the most logical treatment, the results obtained are very uncertain, regardless of the technique, and long-term improvements are rare. In this study, the authors propose an original management based on classical pelvi-perineal rehabilitation techniques combined with low-dose intracavernous injections. The preliminary results appear encouraging with about 50% improvement (improved or cured patients) in the various treated groups with a lasting result. The mechanism of action of rehabilitation is unclear, but this non-invasive technique should be considered prior to more aggressive management.