Management of corporal veno-occlusive dysfunction

Urol Int. 1992;49(1):48-55. doi: 10.1159/000282395.


Veno-occlusive dysfunction has become a recognized cause of organic impotence. The existence of concomitant arterial and sinus smooth-muscle disease makes this disorder often difficult to diagnose. It rarely can be the sole etiology for impotence. The authors' experience in the treatment of this disorder in over 100 patients is presented. The authors rely on cavernosometry/pharmacocavernosometry/pharmacocavernosogr aphy and the color duplex Doppler screening test (to eliminate concomitant arterial disease) as the primary diagnostic tools. Twenty-two patients of 58 (38%) have achieved long-lasting success from the surgery so that they are able to have vaginal intercourse. Another 12 patients (21%) have been improved but must depend upon pharmacological injection therapy to obtain a sufficient erection for intercourse. There has been a 41% failure rate, and these are discussed.

Publication types

  • Review

MeSH terms

  • Arterial Occlusive Diseases / complications
  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / surgery*
  • Erectile Dysfunction / diagnosis
  • Erectile Dysfunction / etiology
  • Erectile Dysfunction / surgery*
  • Follow-Up Studies
  • Humans
  • Male
  • Postoperative Complications
  • Surgical Procedures, Operative / methods
  • Vascular Diseases / complications
  • Vascular Diseases / diagnosis
  • Vascular Diseases / surgery*