MP25-16 PENILE REVASCULARIZATION SURGERY IN PATIENTS WITH DIABETIC ERECTILE DYSFUNCTION : LONG TERM RESUTS

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Surgical Therapy I1 Apr 2017MP25-16 PENILE REVASCULARIZATION SURGERY IN PATIENTS WITH DIABETIC ERECTILE DYSFUNCTION : LONG TERM RESUTS Onder Kayigil, Emrah Okulu, and Fatih Akdemir Onder KayigilOnder Kayigil More articles by this author , Emrah OkuluEmrah Okulu More articles by this author , and Fatih AkdemirFatih Akdemir More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.766AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To determine the overall long-term success of penile revascularization surgery in the treatment of vasculogenic erectile dysfunction and also to investigate the effect of risk factors on the results of a modified Furlow-Fisher technique.We completed our revascularization surgery results in our 50 erectile dysfunction patients having no risk factors except diabetes with a long term follow-up. METHODS Between 2004 and 2015,225 patients with a mean age of 47.2(range:23–73) years underwent penile revascularization surgery.Among them, 50 patients were diagnosed as having diabetes mellitus and completed the mean 60,94±1,34 months follow-up.All the patients were routinely interviewed in the Departments of internal Medicine,Neurology,Psychiatry,and Anaesthesiology.Preoperative urological evaluation was performed with penile colour Doppler ultrasonography,corpus cavernosum electromyography(CC-EMG) and cavernosometry.At least five points of increase in the IIEF-5 score during the latest patient visit in the postoperative period compared with the preoperative period was regarded as improvement(surgical success). RESULTS The mean total IIEF score was 28.1±5.7 before surgery,and it was 42.2±6.3 at the end of the follow-up(P<0.05).The mean IIEF-5 score was 8.3±2.2 before surgery,and it was 17.7±2.1 at the end of the follow-up(P<0.05).Before surgery, the mean Erectile Function-domain score was 11.6±3.4,and it was 21.7±6.1 at the end of the follow-up(P<0.05).According to the IIEF-15,32 patients achieved a no-ED threshold value of >26.According to the IIEF-5, the surgery was again successful in 35 of 50 diabetic patients(70%). CONCLUSIONS We suggest that penile revascularization surgery could be an alternative choice before penile prosthesis implantation in those patients having no risk factors except diabetes which is under control. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e316-e317 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Onder Kayigil More articles by this author Emrah Okulu More articles by this author Fatih Akdemir More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...