Is There a Role for Vascular Surgery in the Contemporary Management of Erectile Dysfunction?

Ricardo Munarriz; Nannan Thirumavalavan; Martin S Gross

doi:10.1016/j.ucl.2021.07.002

Is There a Role for Vascular Surgery in the Contemporary Management of Erectile Dysfunction?

Urol Clin North Am. 2021 Nov;48(4):543-555. doi: 10.1016/j.ucl.2021.07.002. Epub 2021 Aug 21.

Authors

Ricardo Munarriz¹, Nannan Thirumavalavan², Martin S Gross³

Affiliations

¹ Department of Urology, Boston Medical Center, One Boston Medical Center Place, Boston, MA 02118, USA. Electronic address: munarriz@bu.edu.
² Urology Institute, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, 11100 Euclid Ave, Cleveland, OH 44106, USA.
³ Section of Urology, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth College, Lebanon, NH 03756, USA.

PMID: 34602174
DOI: 10.1016/j.ucl.2021.07.002

Abstract

Erectile dysfunction management is intended to restore capacity for penile erection. Although effective, none of the currently available treatments approved by the US Food and Drug Administration reverse erectile dysfunction pathophysiology. Penile arterial bypass surgery is intended to restore erectile function without the need for the chronic use of vasoactive medications or penile prosthesis placement. In select cases, venous ligation surgery may be beneficial, but this approach is not supported by the most recent guidelines on erectile dysfunction management. The lack of high-quality research surrounding penile vascular surgery has limited its use.

Keywords: Bypass; ED; Impotence; Penis; Vascular.

Publication types

Review

MeSH terms

Erectile Dysfunction / surgery*
Humans
Impotence, Vasculogenic / surgery*
Male
Penis / blood supply
Urologic Surgical Procedures, Male / methods
Vascular Surgical Procedures / methods