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Surgical Treatment of Erectile Dysfunction (cont.)

Vascular Reconstructive Surgery for Erectile Dysfunction

Vascular reconstructive surgery is another surgical treatment option for men with erectile dysfunction.

  • Surgery to reconstruct the arteries within the penis can be performed. By increasing blood flow to the penis, a man is able to achieve or maintain an erection.
  • Surgery to block off the veins within the penis can be done. By blocking off these veins, blood is not allowed to leave the penis, which enables a man to achieve or maintain an erection.

Your doctor will discuss the benefits and risks of vascular reconstructive surgery with you and your sexual partner.

Advantages of vascular reconstructive surgery include:

  • Restores natural erections when successful
  • Natural appearance
  • No implant required
  • If unsuccessful, does not interfere with other treatments

It must be stressed that very few men are potential candidates for vascular reconstructive surgery. In addition, extensive testing is required of men prior to undergoing this type of surgery. Additionally, there are very few medical centers that have experience in the management of vascular surgery for erectile dysfunction.

Although moderately effective, the long-term effectiveness of vascular reconstructive surgery is generally only 2 years or less. Also, vascular reconstructive surgery is very expensive and associated with a relatively high relapse rate.

Other disadvantages of vascular reconstructive surgery are:

  • Technically difficult surgery
  • Risk of infection, scar tissue formation with distortion of the penis, and painful erections
  • May cause shortening or numbness of the penis

Pictures of Surgical Treatment for Erectile Dysfunction

Two rigid cylinders have been placed into the penis. This type of implant has no inflation mechanism but provides adequate rigidity to the penis to allow penetration.
Two rigid cylinders have been placed into the penis. This type of implant has no inflation mechanism but provides adequate rigidity to the penis to allow penetration. Click to view larger image.

Inflatable penile device has 3 major components. The 2 cylinders are placed within the penis, a reservoir is placed beneath the rectus muscle, and the pump is placed in the scrotum. When the pump is squeezed, fluid from the reservoir is transferred into the 2 cylinders, producing a firm erection. Squeezing the top of the pump causes a reversal of flow of the fluid from the cylinders back into the reservoir.
Inflatable penile device has 3 major components. The 2 cylinders are placed within the penis, a reservoir is placed beneath the rectus muscle, and the pump is placed in the scrotum. When the pump is squeezed, fluid from the reservoir is transferred into the 2 cylinders, producing a firm erection. Squeezing the top of the pump causes a reversal of flow of the fluid from the cylinders back into the reservoir. Click to view larger image.

This inflatable penile prosthesis has fluid located at the base of the device. When the tip of the device is squeezed, the fluid is transferred into the cylinder.
This inflatable penile prosthesis has fluid located at the base of the device. When the tip of the device is squeezed, the fluid is transferred into the cylinder. Click to view larger image.

Medically reviewed by Michael Wolff, MD; American Board of Urology

REFERENCE:

"Surgical treatment of erectile dysfunction"
UpToDate.com


Medically Reviewed by a Doctor on 5/18/2016
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