SELECTIVE MICROSURGERY IN ARTERIOGENIC ERECTILE FAILURE

On the basis of strict exclusion criteria, penile revascularization was considered to be promising in only 12.8% of our patients with erectile dysfunction. Major venous leakage and other etiologies should be excluded as the origin of erectile failure before microsurgical repair is carried out. A 1-year success rate of 80% confirms the long-term benefit achieved using these procedures. The broad spectrum of peripheral occlusion patterns demands a differentiated surgical approach, including various operative techniques. A final decision as to the ideal revascularization technique should be made intraoperatively. Nevertheless, an algorithm of only three different methods was sufficient to cover all individual vascular situations in our first 23 patients. © 1990 Springer-Verlag.