Endovascular embolisation therapy in men with erectile impotence due to veno-occlusive dysfunction

• DOI: 10.1016/j.ejrad.2012.10.030
• Publication Date: 2012-12-07T01:17:06Z
• Authors: R. Aschenbach; T. Steiner; M.J. Kerl; S. Zangos; S. Basche; T.J. Vogl
• Keywords: Adult; Male; Enbucrilate; Middle Aged; Embolization, Therapeutic; Hemostatics; 3. Good health; Impotence, Vasculogenic; Young Adult; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Venous Insufficiency; Humans

To evaluate the impact of endovascular embolisation therapy in men with erectile impotence due to veno-occlusive dysfunction.We retrospectively evaluated 29 patients with a history of erectile impotence due to veno-oclusive dysfunction confirmed by pharmacocavernosometry and cavernosography. All underwent endovascular embolisation therapy over transfemoral approach. After positioning the catheter system at the target level heights, embolisation with N-butyl-2-cyanoacrylate (Histoacryl(®)) was performed. Technical and clinical success as well as major and minor complications were evaluated.All procedures were performed without any major or minor events. Complication rate was 0%. Technical success was achieved in 27/29 (93.1%). Two patients failed for anatomical reasons. Overall clinical success was achieved in 24/27 (88.8%) patients with recovering from E1 (poor tumescense/no rigidity) to E4 (good tumescence/intermediate rigidity) in 11/27 (40.7%), E1 to E5 in 8/27 (tumescence/normal rigidity) (29.6%) and E1 to E3 (good tumescence/poor rigidity) in 5/27 (18.5%) respectively. 3/27 (11.1%) received no change in ED severity score.Endovascular embolisation therapy for veno-occlusive dysfunction in erectile impotence is a safe and effective therapeutic option with low complication rate and highly technical and clinical success rates.