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.


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