Endovascular treatment of vasculogenic erectile dysfunction

The treatment of erectile dysfunction (ED) has been a fascination involving multiple medical specialities over the past century with urologic, cardiac and surgical experts all contributing knowledge toward this multifactorial disease. With the well-described association between ED and cardiovascular...

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Bibliographic Details
Published in:Asian journal of andrology 2015-01, Vol.17 (1), p.40-43
Main Authors: Kim, Edward D, Owen, Ryan C, White, Gregory S, Elkelany, Osama O, Rahnema, Cyrus D
Format: Article
Language:English
Subjects:
Angioplasty
Care and treatment
Drug-Eluting Stents
erectile dysfunction
impotence
penile erection
vasculogenic
Humans
Impotence
Impotence, Vasculogenic - drug therapy
Impotence, Vasculogenic - therapy
Invited Review
Male
Phosphodiesterase 5 Inhibitors - administration & dosage
Phosphodiesterase 5 Inhibitors - therapeutic use
Sirolimus - administration & dosage
Sirolimus - analogs & derivatives
Sirolimus - therapeutic use
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Summary:The treatment of erectile dysfunction (ED) has been a fascination involving multiple medical specialities over the past century with urologic, cardiac and surgical experts all contributing knowledge toward this multifactorial disease. With the well-described association between ED and cardiovascular disease, angiography has been utilized to identify vasculogenic impotence. Given the success of endovascular drug-eluting stent (DES) placement for the treatment of coronary artery disease, there has been interest in using this same technology for the treatment of vasculogenic ED. For men with inflow stenosis, DES placement to bypass arterial lesions has recently been reported with a high technical success rate. Comparatively, endovascular embolization as an approach to correct veno-occlusive dysfunction has produced astonishing procedural success rates as well. However, after a thorough literature review, arterial intervention is only recommended for younger patients with isolated vascular injuries, typically from previous traumatic experiences. Short-term functional outcomes are less than optimal with long-term results yet to be determined. In conclusion, the hope for a minimally invasive approach to ED persists but additional investigation is required prior to universal endorsement.
ISSN:1008-682X
1745-7262
DOI:10.4103/1008-682X.143752