Breza J, Miklosi M, Sobek M
Urologická klinika LFUK Dérerovej nemocnice v Bratislave, Slovakia.
Bratisl Lek Listy. 1993 Nov;94(11):591-5.
Revascularization of the penis is indicated in those patients in whom peripheral arterial occlusion of the internal pudendal artery alone or in combination with the venous incompetence of the penis, was detected to be the cause of erectile dysfunction. The authors present the results of penile revascularization in 12 patients impotent after crushing pelvic fracture associated with urethral rupture. Revascularization of the dorsal artery of the penis by the inferior epigastric artery was used as the method of surgical treatment. Satisfactory functional results were achieved in 58% of patients. In other 8 patients with combined arteriogenic and venogenic impotence, arterialization of the venous system of the penis was utilized. In 6 patients the method of "triple" anastomosis of the inferior epigastric artery, dorsal artery of the penis, and penile deep dorsal vein was used. In 2 cases the deep dorsal vein of the penis was arterialized by the inferior epigastric artery. The cumulative success rate of venous arterialization of the penis was 62.5%. (Fig. 5, Ref. 15.)
对于那些被检测出仅阴部内动脉周围动脉闭塞或合并阴茎静脉功能不全是勃起功能障碍病因的患者，阴茎血运重建是有必要的。作者展示了12例因骨盆骨折合并尿道破裂导致阳痿患者阴茎血运重建的结果。采用腹壁下动脉对阴茎背动脉进行血运重建作为手术治疗方法。58%的患者取得了满意的功能效果。另外8例合并动脉源性和静脉源性阳痿的患者，采用了阴茎静脉系统动脉化的方法。6例患者采用了腹壁下动脉、阴茎背动脉和阴茎深背静脉“三联”吻合的方法。2例患者采用腹壁下动脉对阴茎深背静脉进行动脉化。阴茎静脉动脉化的累积成功率为62.5%。（图5，参考文献15）
