Vascular Surgery for Erectile Dysfunction

Abstract

Revolutionary insights into penile fibrous anatomy, De Novo fibrovascular assembly, and erection physiology process have been made in recent decades. They have underpinned penile morphological reconstructive surgery, anatomy-based penile vascular surgery, and even factual girth enhancement of the corpora cavernosa. Although it has been studied for over one century, conventional penile vascular surgery is still regarded as an experimental and, in contrast, the refined anatomy-based technique of penile vascular reconstructive strategy, which requires neither electrocautery nor suction apparatus, should be reappraised. Treating erectile dysfunction has been studied in the last century. Penile arterial revascularization surgery supports its utility in young males suffering from arterial trauma and older males with localized arterial occlusive disease. Although it is not agreed in most medical communities, penile venous stripping surgery is beneficial in correcting veno-occlusive dysfunction, with outstanding results. The traditional complications of irreversible penile numbness and deformity have been virtually negated with the venous ligation technique superseding venous cautery. Penile vascular surgery is viable, although it is technically challenging.