X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction
The results of surgical treatment of 59 patients with veno-occlusive erectile dysfunction and follow-up of 8 years are presented. The age of patients is 18-48 years old (average age is 29.3 ± 7.6). Five of them had hemodynamic and clinical signs of arteriovenous erectile dysfunction in the stage of...
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| Format: | Article |
| Language: | Russian |
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ABV-press
2021-08-01
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| Series: | Андрология и генитальная хирургия |
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| Online Access: | https://agx.abvpress.ru/jour/article/view/481 |
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| author | O. B. Zhukov V. E. Sinitsyn A. E. Vasiliev P. M. Klimenko |
| author_facet | O. B. Zhukov V. E. Sinitsyn A. E. Vasiliev P. M. Klimenko |
| author_sort | O. B. Zhukov |
| collection | DOAJ |
| description | The results of surgical treatment of 59 patients with veno-occlusive erectile dysfunction and follow-up of 8 years are presented. The age of patients is 18-48 years old (average age is 29.3 ± 7.6). Five of them had hemodynamic and clinical signs of arteriovenous erectile dysfunction in the stage of subcompensation, 16 patients underwent simultaneous treatment in the form of sclerotherapy of testicular veins in connection with the secretory type of male infertility, 5 underwent simultaneous surgical treatment to eliminate veno-occlusive and arterial insufficiency of the cavernous bodies of the penis by stenting of the internal iliac or pudendal arteries, 2 patients underwent delayed stenting of the iliac veins due to May-Turner syndrome, the remaining patients underwent surgical treatment aimed at eliminating venous erectile dysfunction. The diagnosis was established on the basis of a clinical and urological examination, including physical examination and questioning according to the IIEF-5 (International Index of Erectile Function), ultrasound Doppler examination of the cavernous bodies of the penis with intracavernous pharmacotest, dynamic computer pharmacocavernosography with 3D reconstruction, with veno-occlusive arteries with suspected arteries, or computer tomography arterial insufficiency of the cavernous bodies of the penis. All types of endovascular and hybrid operations on the venous collectors of the penis were analyzed. Priority surgical techniques for the treatment of pathological venous drainage have been identified, which are 75 % effective in the long-term postoperative period. Based on the presented experience of the authors and analysis of foreign literature, the expediency of revising the European and Russian recommendations for venous surgery of the penis towards the priority use at the first stage of minimally invasive X-ray surgical treatment in a category of young patients has been proved. |
| first_indexed | 2024-04-10T03:53:09Z |
| format | Article |
| id | doaj.art-ccb70f01491f48a6a1650daef714bd3c |
| institution | Directory Open Access Journal |
| issn | 2070-9781 |
| language | Russian |
| last_indexed | 2024-04-10T03:53:09Z |
| publishDate | 2021-08-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Андрология и генитальная хирургия |
| spelling | doaj.art-ccb70f01491f48a6a1650daef714bd3c2023-03-13T07:15:10ZrusABV-pressАндрология и генитальная хирургия2070-97812021-08-01222243410.17650/1726-9784-2021-22-2-24-34408X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunctionO. B. Zhukov0V. E. Sinitsyn1A. E. Vasiliev2P. M. Klimenko3RUDN University; Association of Vascular Urologists andReproductologistsLomonosov Moscow State University; Medical Research and Educational Center of the Lomonosov Moscow State UniversityAssociation of Vascular Urologists andReproductologists; National Research Center for Hematology, Ministry of Health of RussiaS.I. Georgievsky Medical Academy, V.I. Vernadsky Crimean Federal UniversityThe results of surgical treatment of 59 patients with veno-occlusive erectile dysfunction and follow-up of 8 years are presented. The age of patients is 18-48 years old (average age is 29.3 ± 7.6). Five of them had hemodynamic and clinical signs of arteriovenous erectile dysfunction in the stage of subcompensation, 16 patients underwent simultaneous treatment in the form of sclerotherapy of testicular veins in connection with the secretory type of male infertility, 5 underwent simultaneous surgical treatment to eliminate veno-occlusive and arterial insufficiency of the cavernous bodies of the penis by stenting of the internal iliac or pudendal arteries, 2 patients underwent delayed stenting of the iliac veins due to May-Turner syndrome, the remaining patients underwent surgical treatment aimed at eliminating venous erectile dysfunction. The diagnosis was established on the basis of a clinical and urological examination, including physical examination and questioning according to the IIEF-5 (International Index of Erectile Function), ultrasound Doppler examination of the cavernous bodies of the penis with intracavernous pharmacotest, dynamic computer pharmacocavernosography with 3D reconstruction, with veno-occlusive arteries with suspected arteries, or computer tomography arterial insufficiency of the cavernous bodies of the penis. All types of endovascular and hybrid operations on the venous collectors of the penis were analyzed. Priority surgical techniques for the treatment of pathological venous drainage have been identified, which are 75 % effective in the long-term postoperative period. Based on the presented experience of the authors and analysis of foreign literature, the expediency of revising the European and Russian recommendations for venous surgery of the penis towards the priority use at the first stage of minimally invasive X-ray surgical treatment in a category of young patients has been proved.https://agx.abvpress.ru/jour/article/view/481veno-occlusive erectile dysfunctionx-ray endovascular treatment methodsintracavernous pharmacotestdynamic computer pharmacocavernosography with 3d reconstructionembolizing vascular coilsmicrocatheterultrasound system |
| spellingShingle | O. B. Zhukov V. E. Sinitsyn A. E. Vasiliev P. M. Klimenko X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction Андрология и генитальная хирургия veno-occlusive erectile dysfunction x-ray endovascular treatment methods intracavernous pharmacotest dynamic computer pharmacocavernosography with 3d reconstruction embolizing vascular coils microcatheter ultrasound system |
| title | X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction |
| title_full | X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction |
| title_fullStr | X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction |
| title_full_unstemmed | X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction |
| title_short | X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction |
| title_sort | x ray endovascular methods for the treatment of veno occlusive erectile dysfunction |
| topic | veno-occlusive erectile dysfunction x-ray endovascular treatment methods intracavernous pharmacotest dynamic computer pharmacocavernosography with 3d reconstruction embolizing vascular coils microcatheter ultrasound system |
| url | https://agx.abvpress.ru/jour/article/view/481 |
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