静脉性阳萎的手术治疗

Surgical Management of Venogenic Impotence

根据不同类型的静脉漏采取不同的手术方式治疗静脉性阳萎21例。其中单纯性静脉漏9例,杂性静脉漏12例。用背深静脉结扎治疗单纯背深静脉漏8例,双侧髂内静脉结扎治疗中层和深层的复杂性漏9例。手术后分别作罂粟硷试验的21例病人中19例均呈阳性反应,但术后随访20例病人,有效率仅为60%。

21 patients with venogenic impotence underwent different surgical approach according to different types of venous leakage.9 patients had pure deep dorsal venous leakage.12 patients had complex venous leakages.Nine patients with pure deep dorsal venous leakage underwent deep dotal venoligation.3 patients with superficial and deep dorsal leakages underwent sn- perficial and deep dorsal venoligation.9 patients with middle and deep layer venous leakages underwent both internal iliac venoligation.Nineteen patients showed pos itive papaverine test in ppst—opertion,but effective rate was 60% for 20 patients with a post—operative follow up.