Katzenwadel A, Popken G, Wetterauer U
Department of Urology, University of Freiburg, FRG.
Urol Int. 1993;50(2):71-6. doi: 10.1159/000282455.
From February 1987 to September 1991, 122 men with erectile impotence and confirmed cavernosal venous leakage underwent penile venous surgery. After a postoperative follow-up of 36 months, only 18.8% of the patients had satisfactory erections without further therapy. Another 32.5% postoperatively converted to responders to intracavernous injection therapy with vasoactive drugs. Therefore, a total of 51.3% benefitted from the operation. Dynamic pharmacocavernography proved to be the most important examination in terms of establishing indication and prognosis. According to our results, there are two basically different forms of cavernosal venous leakage with different postoperative outcomes: primary and secondary corporeal incompetence. In many cases, an arterial cofactor was determined.
1987年2月至1991年9月，122例确诊为海绵体静脉漏的勃起功能障碍男性接受了阴茎静脉手术。术后随访36个月，仅18.8%的患者在无需进一步治疗的情况下勃起功能令人满意。另有32.5%的患者术后转变为对海绵体内注射血管活性药物治疗有反应者。因此，共有51.3%的患者从手术中获益。动态药物海绵体造影在确定手术指征和预后方面被证明是最重要的检查。根据我们的结果，存在两种基本不同形式的海绵体静脉漏，其术后结果不同：原发性和继发性海绵体功能不全。在许多病例中，确定了动脉因素。
