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March 1985

Internal Iliac Artery Revascularization in the Treatment of Vasculogenic Impotence

Author Affiliations

From the Division of Vascular Surgery, Department of Surgery, West Side Veterans Administration Medical Center, Chicago, and the University of Illinois College of Medicine at Chicago.

Arch Surg. 1985;120(3):271-274. doi:10.1001/archsurg.1985.01390270011002

• Five impotent men underwent internal iliac artery revascularization in conjunction with end-to-side aortobifemoral bypass after preoperative testing suggested a vasculogenic cause for impotence. All patients had abnormal preoperative penile/brachial arterial pressure indices (mean, 0.42±0.12). Following operation, all patients regained erectile capability and had normal postoperatve penile/brachial indices (mean, 0.80±0.06). One patient developed retrograde ejaculation, emphasizing the need for meticulous nerve-sparing dissection with this operation. Internal iliac artery revascularization in conjunction with end-to-side aortobifemoral bypass is effective in relieving vasculogenic impotence in properly selected patients.

(Arch Surg 1985;120:271-274)

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