血管性勃起功能障碍研究概况

Current Opinion in Vasculogenic Erectile Dysfunction

对于血管性勃起功能障碍 (ED)的诊断应该采用多种方法 ,从不同的角度检查和评价阴茎血管性疾病 ;血管重建术是一种安全、有效的治疗动脉性ED的方法 ,具有很明确的手术适应证 ,坚持严格的病例选择标准是治疗成功的关键 ,尤其是在血管重建术作为惟一的病因治疗方法时 ,应尽可能避免选择高危险因素的病人 ;静脉漏性ED的手术治疗远期效果不佳 ,已不是最佳选择 ;新的无创或微创治疗方法的出现和不断完善 。

Diagnosis of vasculogenic erectile dysfunction (ED),which can not based on single method, is the key for the sucessive surgical treatment. Revascularization is a safe, effective method to treat arteriogenic ED. The key for successive treatment is to select the most suitable patients and to avoid any risk factors for the surgical candidates, especially for those revascularization as the only therapeutic method. The high failure rate in surgery of ED is due to venous leakage which has led to these techniques being abandoned by almost all urologist. Newly appeared methods with little or no damage are welcome by the patients with vasculogenic ED, and the better results can be achieved by the combination of general treatment.