Wespes E, Schulman C C
J Urol. 1985 May;133(5):796-8. doi: 10.1016/s0022-5347(17)49231-7.
While the arterial aspects of erectile impotence recently have received considerable attention, the venous component of normal and impaired erection has been ignored. In this study venous leakage was demonstrated by inducing passive erections using a controlled perfusion of the corpora cavernosa with continuous pressure monitoring. In 20 patients with impaired erectile activity under a standardized flow (80 to 120 ml. per minute) no rigid erections were obtained and the perfused liquid was demonstrated to escape through the deep dorsal vein of the penis. After ligation of this vein the erections improved sufficiently to allow satisfactory intercourse in 16 of the 20 patients. The 4 failures had serious arterial lesions. In patients with organic impotence the venous pathological condition should be assessed routinely, since it represents an easily correctable anomaly if arterial inflow is not severely impaired.
虽然最近勃起功能障碍的动脉方面受到了相当多的关注，但正常勃起和勃起功能受损的静脉成分却被忽视了。在本研究中，通过对海绵体进行控制性灌注并持续监测压力来诱导被动勃起，从而证明了静脉漏。在20名勃起功能受损的患者中，在标准化血流（每分钟80至120毫升）下未获得坚硬勃起，并且证明灌注液通过阴茎背深静脉流出。结扎该静脉后，20名患者中有16名勃起改善到足以进行满意的性交。4例失败患者有严重的动脉病变。在器质性阳痿患者中，应常规评估静脉病理状况，因为如果动脉流入未严重受损，它代表一种易于纠正的异常情况。
