Lunglmayr G, Nachtigall M, Gindl K
Department of Urology, Mistelbach, General Infirmary, Austria.
Eur Urol. 1988;15(3-4):209-12. doi: 10.1159/000473435.
29 individuals with venous impotence underwent transsection of the deep dorsal penile vein, of the superficial and ectopic veins, if any. 19 patients responded initially with either spontaneous erections or increased sensitivity of the cavernous bodies to intracorporeal papaverine. 1 patient developed postoperative priapism. The majority of patients who failed to respond had major leakage into the cavernous veins or abnormal connections between the spongious and cavernous bodies. An intraoperative decrease of flow rates to induce and maintain erection was found to be indicative for response. 10 individuals developed secondary erectile dysfunction 4-24 months after the initial response. A more extensive surgical approach should be considered to improve long-term success rates.
29例静脉性阳痿患者接受了阴茎背深静脉、浅表静脉及异位静脉（如有）的横断术。19例患者最初有反应，表现为自发勃起或海绵体对阴茎海绵体内注射罂粟碱的敏感性增加。1例患者术后发生阴茎异常勃起。大多数无反应的患者存在大量血液漏入海绵体静脉或海绵体与海绵体之间的异常连接。术中发现诱导和维持勃起时流速降低提示有反应。10例患者在最初有反应后4 - 24个月出现继发性勃起功能障碍。应考虑采用更广泛的手术方法以提高长期成功率。
