Arterial Reconstruction with Microvascular Surgery in Patients with Arterial Erectile Dysfunction
Recently, self-injection of penile cavernous erectile agents is most widely used as a treatment for erectile dysfunction. Erection triggers are good when you get an injection, but it can be cumbersome to inject each time. Therefore, patients have been inquiring about whether they can be treated surgically. In general, surgery is a penis implant, which requires a lot of costs, as well as the need for artificial manipulations whenever necessary and not a natural erection.
Is there any way to restore the natural erection by surgery in erectile dysfunction?
The answer now is, in some cases, possible. That is, in some arterial erectile dysfunction patients. In more detail, younger speakers of arterial erectile dysfunction can recover spontaneous erection with arterial reconstruction.
Before explaining arterial erectile dysfunction, the causes of erectile dysfunction can be divided into psychogenic and organic erectile dysfunction, and vascular toughness is divided into arterial and venous and cavernous erectile dysfunction. Not many cases.
Excited by external sexual stimulation increases the influx of blood flow to the penis, the cavernous smooth muscle relaxes in the penis, and arterial erectile dysfunction may occur in arteriosclerosis patients, etc. This will not happen, it will happen. In addition, when the penis artery is damaged by an external shock, blood flow can be reduced, leading to arterial erectile dysfunction.
Typical symptoms of arterial erectile dysfunction may be suspected when there is a constant loss of erection, no natural erection, or better early morning erection than sexual erection. High-risk groups that cause arterial erectile dysfunction include flammability, arteriosclerosis, hyperlipidemia, and perineal damage. Arterial erectile dysfunction caused by atherosclerosis or hyperlipidemia usually causes artery vascular disease not only in the penile arteries but also in the lower abdominal arteries used as donor arteries. Arterial erectile dysfunction due to injuries such as perineal obstruction or pelvic fracture in young men and the success rate is high.
To perform arterial reconstruction, several forceps are needed. First, penile Doppler ultrasonography checks for decreased blood flow in the penis arteries, and after penile cavernoscopy and penile cartography, it is confirmed that there is no venous leakage. The condition of the lower abdominal artery, the donor artery, and the penile abdominal artery, the recipient artery, is diagnosed and surgical decisions are made.
Surgical methods include abdominal incisions to expose the lower abdominal arteries and scrotum incisions to expose the penile abdominal arteries. After careful exposure, the abdominal incision is made without opening the abdomen, exposing one lower abdominal artery and turning to buy generic meds online. Under the microscopic microscope, the donor artery, the lower abdominal artery, and the recipient artery, the penile ventral artery, are end-sided sutures. Hospitalization takes about one week, and the success rate is about 60%, and this surgery is also being performed at the male medical clinic in our university hospital.
There are no special complications after surgery, and there are no surgical penis in the penis but only in the scrotum and abdomen.