Maggi Martina, Pirola Giacomo Maria, Absil Fabienne, De Plaen Elea, Mosca Augusto, Salciccia Stefano, Sciarra Alessandro, Bollens Renaud
Department of Urology, Sapienza Rome University, Policlinico Umberto I, Rome, Italy.
Department of Urology, Usl Toscana Sud Est, San Donato Hospital, Arezzo, Italy.
Cent European J Urol. 2020;73(4):569-571. doi: 10.5173/ceju.2020.0088.R1. Epub 2020 Dec 3.
The aim of this article is to report the effectiveness of laparoscopic decompression of pudendal artery (PA) and nerve for erectile dysfunction (ED) restoration. A 32-year-old man presented with a long-term complaint of ED not responsive to medical therapy. Endocrine screening and neurological evaluation did not show any abnormalities. Color Doppler ultrasound revealed the absence of blood flow in the right PA. After failure of conservative treatments and in accordance to the patient's desire, laparoscopic pudendal artery decompression was performed. The patient reported significant amelioration of ED one month after surgery. At 8-months follow-up, Doppler ultrasound showed complete revascularization of the right PA.
本文旨在报告腹腔镜下阴部动脉（PA）减压和神经减压恢复勃起功能障碍（ED）的有效性。一名32岁男性长期患有ED，药物治疗无效。内分泌筛查和神经学评估未发现任何异常。彩色多普勒超声显示右侧PA无血流。在保守治疗失败后，根据患者意愿，进行了腹腔镜下阴部动脉减压术。患者术后1个月报告ED有显著改善。在8个月的随访中，多普勒超声显示右侧PA完全再血管化。
