Török A, Lenk S, Székely J, Götz F
Urologische Klinik, Medizinischen Universität Pécs/Ungarn.
Z Urol Nephrol. 1989 Jan;82(1):39-44.
In 14 out of 94 patients with erectile dysfunction a venous insufficiency was suspected. Localization and securing of the venous leak were done by dynamic cavernosography. An insufficient penile blood supply could excluded by Doppler ultrasonography and measurement of the penile-brachial artery-pressure index. In 7 out of 13 patients treated by ligation of penile veins the erectile function was normalized after operation, in 4 cases an additional intracavernous injection therapy was necessary and in 2 patients the operation was unsuccessful. If impotence occurs once more due to venous collaterals the implantation of a penile prosthesis should considered.
在94例勃起功能障碍患者中，有14例怀疑存在静脉功能不全。通过动态海绵体造影对静脉漏进行定位和确定。通过多普勒超声和测量阴茎 - 肱动脉压力指数可排除阴茎血液供应不足。在13例接受阴茎静脉结扎治疗的患者中，7例术后勃起功能恢复正常，4例需要额外进行海绵体内注射治疗，2例手术失败。如果因静脉侧支循环再次出现阳痿，应考虑植入阴茎假体。
