Queral L A, Whitehouse W M, Flinn W R, Zarins C K, Bergan J J, Yao J S
Surgery. 1979 Dec;86(6):799-809.
Changes in blood flow to the pelvis were monitored by measurement of penile blood pressures before and after 38 aortoiliac vascular reconstructions. An increase in penile pressure was noted in 14 patients (37%), a decrease was seen in eight patients (21%), and no change occurred in 16 patients (46%). These changes could have been predicted by matching arteriograms to the surgical procedure performed. Preoperative impotence was present in 27 patients (17%). In this group a postoperative increase in penile pressure was associated with restoration of erectile capability in eight of 11 patients. Only one of 10 patients with an unchanged penile pressure regained sexual potency. In contrast, none of the eight patients whose penile pressures decreased had recurrence of erectile capability. Six of these patients had end-to-end aortobifemoral grafts, and concurrent external iliac disease prevented retrograde flow to the internal iliac vessels.
通过测量38例主髂血管重建术前和术后的阴茎血压，监测盆腔血流变化。14例患者（37%）阴茎血压升高，8例患者（21%）血压下降，16例患者（46%）无变化。通过将动脉造影与所实施的手术操作相匹配，这些变化本可被预测。27例患者（17%）术前存在阳痿。在该组中，11例患者中有8例术后阴茎血压升高与勃起功能恢复相关。阴茎血压未改变的10例患者中只有1例恢复了性功能。相比之下，阴茎血压下降的8例患者中无一例勃起功能恢复。其中6例患者进行了端到端主动脉双股动脉移植，同时存在的髂外疾病阻止了逆行血流至髂内血管。
