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Review
. 2021 Feb 2:7:626943.
doi: 10.3389/fcvm.2020.626943. eCollection 2020.

Percutaneous Treatment of Venous Erectile Dysfunction

Hanno Hoppe  1   2 , Nicholas Diehm  2   3
Affiliations
Review

Percutaneous Treatment of Venous Erectile Dysfunction

Hanno Hoppe et al. Front Cardiovasc Med. .

Abstract

Erectile dysfunction is a defined as recurring inability to achieve and maintain satisfactory erection for sexual intercourse associated with relevant life impairment. The underlying etiologies may be manifold and complex. Currently, vascular etiologies are highly prevalent especially amongst elderly men. Of special interest, especially venogenic causes are of increasing relevance. Therapeutic options comprise risk factor modification, pharmacotherapy, surgical treatment, and endovascular treatment. Especially endovascular treatment options have recently increased in popularity including transcatheter embolization procedures for veno-occlusive dysfunction.

Keywords: embolization; erectile dysfunction (ED); impotence; veno occlusive disease; venous leak.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling Editor declared a past co-authorship with one of the authors ND.

Figures

Figure 1
Figure 1
55-year old man with erectile dysfunction due to veno-occlusive disease. Patient is non-responder to PDE-5-inhibitor and Caverject. (A) Contrast enhanced CT cavernosography (coronal maximum intensity projection) demonstrates bilateral venous leaks via pudendal veins (arrows) draining into iliohypogastric veins (arrowheads). (B,C) Contrast enhanced CT cavernosography (volume rendering in coronal (B) and sagittal (C) views) demonstrating bilateral venous leaks via pudendal veins (arrows) draining into iliohypogastric veins (arrowheads).
Figure 2
Figure 2
50-year old man with erectile dysfunction due to veno-occlusive disease. (A) Contrast enhanced CT cavernosography (coronal maximum intensity projection) demonstrates right sided venous leak via periprostatic veins (arrow). (B) Cavernosography with access via the deep dorsal vein and injection of contrast medium demonstrates right sided venous leaks predominatentely via periprostatic veins (arrow). (C) Post embolization of periprostatic veins (arrow) using N-butyl-2-cyanoacrylate mixed with Lipiodol demonstrating radiopaque intravenous embolization material (arrow).
See this image and copyright information in PMC

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