Internal Iliac Artery Revascularization in the Treatment of Vasculogenic Impotence

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Abstract
• Five impotent men underwent internal iliac artery revascularization in conjunction with end-to-side aortobifemoral bypass after preoperative testing suggested a vasculogenic cause for impotence. All patients had abnormal preoperative penile/brachial arterial pressure indices (mean, 0.42±0.12). Following operation, all patients regained erectile capability and had normal postoperatve penile/brachial indices (mean, 0.80±0.06). One patient developed retrograde ejaculation, emphasizing the need for meticulous nerve-sparing dissection with this operation. Internal iliac artery revascularization in conjunction with end-to-side aortobifemoral bypass is effective in relieving vasculogenic impotence in properly selected patients. (Arch Surg 1985;120:271-274)

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