Vasculogenic impotence

Impotence – inability to get an erection ( erectile dysfunction ), can be psychogenic or organic.

Insufficient arterial inflow

 * Central – arterial occlusion in the aortoiliac region.
 * Peripheral - arterial occlusion of the branches of the pelvic arteries or directly of the penile arteries.
 * Others – arterial injuries during fractures of the pelvic bones, dysplasia of the deep arteries of the penis.

Treatment



 * Reconstructive procedures on pelvic arteries (endarterectomy, bypasses ).
 * Or penile arteries (epigastric-penile bypass).
 * When they fail to implant a penile endoprosthesis

Phlebogenic

 * Increased venous outflow (insufficient blockage).
 * Treatment with ligation or embolization of veins ( v. dorsalis penis, v. penis profunda ).
 * Conservative treatment with vasoactive substances (relaxation of the smooth muscle of the supply arteries) – prostaglandins, papaverine, sildenafil (Viagra®) = phosphodiesterase inhibitor.

Related Articles

 * Erectile dysfunction
 * Arterial reconstruction