Posttraumatic impotence: angiographic evaluation.

Abstract:

:The onset of impotence was related to penile trauma in ten of 90 patients who underwent angiography. Angiographic results facilitated diagnosis in all patients. Trauma was secondary to a variety of injuries including fractures, soft-tissue perineal injuries without fractures, and repeated perineal pounding during long, jarring drives. The final diagnosis was arteriogenic impotence (n = 2), arteriovenogenic impotence (n = 2), venogenic impotence (n = 3), venoneurogenic impotence (n = 1), neurogenic impotence (n = 1), and psychogenic impotence (n = 1). Proper angiographic evaluation required refined angiographic techniques such as selective magnification pharmacoarteriography, pharmacocavernosography, and pharmacocavernosometry. A variety of therapeutic options were either recommended or applied, depending on the angiographic findings. These included venous ligation, arterial bypass, injections of papaverine hydrochloride, and insertion of penile prostheses.

journal_name

Radiology

journal_title

Radiology

authors

Lurie AL,Bookstein JJ,Kessler WO

doi

10.1148/radiology.166.1.3336670

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

115-9

issue

1 Pt 1

eissn

0033-8419

issn

1527-1315

journal_volume

166

pub_type

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