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Article
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
Abstract

• 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)

References
1.
Leriche R:  Des obliterations arterielles hautes (obliteration de la terminasion de l'aorte) comme causes des insuffisances circulatoires des membres inferieurs . Bull Mem Soc Chir 1923;49:1404.
2.
Spiro M, Cotton LT:  Aorto-iliac thrombo-endarterectomy . Br J Surg 1979;57:161-168.Article
3.
Hallbook T, Holmquist B:  Sexual disturbances following dissection of the aorta and the common iliac arteries . J Cardiovasc Surg 1970;11:255-260.
4.
Sabri S, Cotton LT:  Sexual function following aortoiliac reconstruction . Lancet 1971;2:1218-1219.Article
5.
Weinstein MH, Machleder HI:  Sexual function after aortoiliac surgery . Ann Surg 1974;181:787-790.Article
6.
May AG, DeWeese JA, Rob CG:  Changes in sexual function following operation on the abdominal aorta . Surgery 1969;65:41-47.
7.
DePalma RG:  Impotence as a complication of aortic reconstruction , in Bernhard V, Towne J (eds): Complications in Vascular Surgery . New York, Grune & Stratton Inc, 1980, pp 427-442.
8.
Flanigan DP, Schuler JJ, Keifer T, et al:  Elimination of iatrogenic impotence and improvement of sexual function after aortoiliac revascularization . Arch Surg 1982;117:544-550.Article
9.
DePalma RG, Levine SB, Feldman S:  Preservation of erectile function after aortoiliac reconstruction . Arch Surg 1978;113:958-962.Article
10.
Cronenwett JL, Gooch JB, Garrett E:  Internal iliac artery revascularization during aortofemoral bypass . Arch Surg 1982;117:838.Article
11.
Spark RF, White RA, Connolly PB:  Impotence is not always psychogenic . JAMA 1980;243:750-755.Article
12.
Queral LA, Flinn WI, Bergan J, et al:  Sexual function in aortic surgery , in Bergan J, Yao JST (eds): Surgery of the Aorta and Its Body Branches . New York, Grune & Stratton Inc, 1979, p 26.
13.
Ginestig JF, Romieu A: Radiologic Exploration of Impotence . The Hague, Netherlands, Martinus Nijhoff Publishing Medical Division, 1978.
14.
Castaneda-Zuniga WR, Smith A, Kaye K, et al:  Transluminal angioplasty for treatment of vasculogenic impotence . Am J Radiol 1982;139: 371-373.
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