Microvascular Surgery in Vascular Impotence: Diagnosis, Surgical Technique, Follow-up

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Abstract
The authors describe their microsurgical technique used in 257 patients who had been shown in the sleep laboratory to have an organic cause of impotence and in whom vascular occlusion had been demonstrated by conventional angiog raphy. They used their technique of intraoperative angiography through the dorsal and/or cavernous arteries for making decisions on surgical tactics. Thus guided, they performed microsurgical bypass from the iliac or common femoral artery to the intrapenile arteries by direct microsurgical anastomosis. They de scribe their surgical tactics, results in a nine-year follow-up and complications.