scholarly journals NEW TREATMENT APPROACHES FOR VASCULOGENIC ERECTILE DYSFUNCTION

2018 ◽  
Vol 19 (2) ◽  
pp. 58-68
Author(s):  
O. B. Zhukov ◽  
A. E. Vasilyev ◽  
M. B. Zhumataev
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Treatment ◽  
Clinical Signs ◽  
Penile Prosthesis ◽  
Clinical Effectiveness ◽  
Endovascular Embolization ◽  
Treatment Approaches ◽  
Sexual Rehabilitation ◽  
New Treatment ◽  
Vasculogenic Erectile Dysfunction

Introduction. In the initial stages of vasculogenic erectile dysfunction (ED), young men who are dissatisfied by administration of inhibitor 5-phosphodiesterase and/or intracavernous injections tend to deny surgical treatment. At the decompensated stage of ED penile prosthesis implantation presents the method of choice. However, currently there are new treatment approaches, the effectiveness of which is actively being investigated.Materials and methods. In article results of surgical treatment of 38 patients (25–48 years, mean age 34.3 ± 7.4 years) with vasculogenic ED are presented: 33 – venoocclusive ED, 5 – arterial insufficiency of the corpora cavernosa, 2 of them have hemodynamic and clinical signs of arteriovenous ED in subcompensation. The treatment included stenting or endovascular embolization with spirals.Results. Maximum follow-up was 4 years. Overall clinical effectiveness and subsequent sexual rehabilitation were assessed as sufficient based on the international index of erectile function before surgery was 10,5 ± 3,6 (9–13) and after surgery – 21,3 ± 4,2 (14–25) (p = 0,001).Conclusion. Application of these innovative technologies allows to perform a sexual rehabilitation of most patients with ED and to avoid phalloprosthesis implantation. 

Surgery for disorders of erectile function, ejaculation, and seminal vesicles

2020 ◽  
pp. 631-650
Author(s):  
Suzanne Biers ◽  
Noel Armenakas ◽  
Alastair Lamb ◽  
Stephen Mark ◽  
John Reynard ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Treatment ◽  
Vascular Surgery ◽  
Erectile Function ◽  
Penile Prosthesis ◽  
Seminal Vesicles ◽  
Peyronie’S Disease ◽  
Surgical Interventions ◽  
Peyronie's Disease

This chapter begins by covering the physiology of erections and ejaculation. It provides ways of evaluating erectile dysfunction and then surgical interventions, including vascular surgery and penile prosthesis. Finally, surgical treatment for Peyronie’s disease is covered.

Challenging Ethical Scenarios in the Surgical Treatment of Erectile Dysfunction: A Survey of High-Volume Penile Prosthesis Surgeons

Urology ◽  
2020 ◽  
Author(s):  
Charan Mohan ◽  
Elizabeth Sonntag ◽  
Mark Ehlers ◽  
Jason Akerman ◽  
Solomon Hayon ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Treatment ◽  
Penile Prosthesis ◽  
High Volume

scholarly journals X-ray endovascular methods for the treatment of veno-occlusive erectile dysfunction

2021 ◽  
Vol 22 (2) ◽  
pp. 24-34
Author(s):  
O. B. Zhukov ◽  
V. E. Sinitsyn ◽  
A. E. Vasiliev ◽  
P. M. Klimenko
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Treatment ◽  
Clinical Signs ◽  
Young Patients ◽  
Surgical Techniques ◽  
Venous Drainage ◽  
Simultaneous Treatment ◽  
X Ray ◽  
Venous Surgery ◽  
Arterial Insufficiency

The results of surgical treatment of 59 patients with veno-occlusive erectile dysfunction and follow-up of 8 years are presented. The age of patients is 18-48 years old (average age is 29.3 ± 7.6). Five of them had hemodynamic and clinical signs of arteriovenous erectile dysfunction in the stage of subcompensation, 16 patients underwent simultaneous treatment in the form of sclerotherapy of testicular veins in connection with the secretory type of male infertility, 5 underwent simultaneous surgical treatment to eliminate veno-occlusive and arterial insufficiency of the cavernous bodies of the penis by stenting of the internal iliac or pudendal arteries, 2 patients underwent delayed stenting of the iliac veins due to May-Turner syndrome, the remaining patients underwent surgical treatment aimed at eliminating venous erectile dysfunction. The diagnosis was established on the basis of a clinical and urological examination, including physical examination and questioning according to the IIEF-5 (International Index of Erectile Function), ultrasound Doppler examination of the cavernous bodies of the penis with intracavernous pharmacotest, dynamic computer pharmacocavernosography with 3D reconstruction, with veno-occlusive arteries with suspected arteries, or computer tomography arterial insufficiency of the cavernous bodies of the penis. All types of endovascular and hybrid operations on the venous collectors of the penis were analyzed. Priority surgical techniques for the treatment of pathological venous drainage have been identified, which are 75 % effective in the long-term postoperative period. Based on the presented experience of the authors and analysis of foreign literature, the expediency of revising the European and Russian recommendations for venous surgery of the penis towards the priority use at the first stage of minimally invasive X-ray surgical treatment in a category of young patients has been proved.

New treatment approaches for lung cancer and impact on survival

2002 ◽  
Vol 29 (3 Suppl 8) ◽  
pp. 26-29 ◽  
Author(s):  
Hern[aacute]n Cort[eacute]s-Funes
Keyword(s):  
Lung Cancer ◽  
Treatment Approaches ◽  
Impact On Survival ◽  
New Treatment

Thyroidectomy in a patient with a giant multinodular nontoxic cervical retrosternal goiter

2020 ◽  
pp. 97-99
Author(s):  
U. V. Kukhtenko ◽  
O. A. Kosivtsov ◽  
L. A. Ryaskov ◽  
E. I. Abramian
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Signs ◽  
Disease Relapse ◽  
Cardiac Pathology ◽  
Nontoxic Goiter ◽  
Retrosternal Goiter

A clinical case of successful surgical treatment of a patient with a giant cervical retrosternal nontoxic goiter with severe cardiac pathology is presented. Thyroidectomy from cervical access without sternotomy was performed. At the follow-up examination 5 months after the operation, instrumental and clinical signs of disease relapse were not detected.

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