Saturday, January 12, 2008
Vascular impotence in which the pros and cons
Organic impotence largest share of the vascular impotence, treatment of vascular impotence of vascular surgery to a combination of factors, all have their pros and cons, with the people of clinical experience is gained, vascular surgical technique has been improved with the improvement. As vascular impotence of the patients, they would of course want to know all sorts of vascular surgery and the characteristics indications, to make an early decision for surgical treatment. Penile prosthesis implantation of efficiency, while high, but the implantation process will undermine the corpus cavernosum. nor can it restore normal physiological function of the penis, it should not be the preferred program. For intravenous impotence, in the past the use of dorsal penile block deep vein and cavernous venous approach. However, as the complexity of venous return and missed the vein mechanism is not yet clear, although the effect can be made. But the long-term effect with time and there is a clear downward trend. Although people as possible to take the high ligation and as much as possible the branch vein occlusion, and other measures, also failed to bring these issues have improved significantly. For artery impotence, taken in the past revascularization surgery including direct abdominal artery anastomosis with the cavernous and indirect use of abdominal artery and conspiracies Stem dorsal artery or cavernosal artery anastomosis. Abdominal artery is a very close from the penis, usually function is not very important, can be used for the reconstruction of the vascular vessels. However, direct anastomosis of the poor long-term results, in line embolization rate too high for people not acceptable; revascularization surgery more difficult later, the artery can not prevent postoperative anastomotic thrombosis rate. efficacy is not satisfactory. In the search for more effective treatment methods, Fu Yi doctors first use of deep dorsal vein of cavernous artery revascularization surgery achieved significant effect. The idea was to solve the problem of venous leakage, and then applied artery -- venous impotence, achieved good clinical results. Penile dorsal vein through its branch vein and guided venous drainage Rotary glans penis intracaver distal 2 / 3 of the flow, Penis is the main veins. Above artery surgery in addition to blocking back deep vein is the main vein reflux, reducing leakage outside the vein; has been able to expand the use of guided vein and vein rotation so that the increased blood reflux into the cavernous, Spongiform increase blood supply to restore penile blood flow and momentum balance erectile physiology. Due to coincide simple surgery, trauma and wide adaptation; and the non-use of arterial vein to avoid the use of vascular sclerosis again at the possibility of flow into the corpus cavernosum also entered the venous system, and it is generally not sustained erection. Abdominal artery and the dorsal venous anastomosis deals with end-to-end anastomosis, available end-to-side anastomosis; Intraoperative reservations I. vein ligation and superficial vein. The surgery the doctors have skilful vascular surgery technology to protect the anastomotic patency rate and efficient operation.
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