Author/Authors :
Najd Sepas, Hossein Assistant Professor of Vascular Surgery - Department of Surgery - Iran University of Medical Sciences, Tehran , Tayyebi Azar, Ali Nephrology and Kidney Transplant Research Center - Urmia University of Medical Sciences , Bashirian, Manouchehr Urology Department - Khoy University of Medical Sciences, Urmia , Mirkazemi, Farhad Reconstructive Urologist - Shiraz University of Medical Science - Emtiyaz Hospital Trauma Center, Shiraz , Soleimanzadeh, Farzin Urology Department - Faculty of Medicine - Tabriz University of Medical Sciences , Mousavi, Reza Shohada Tajrish Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Zolghadr, Zahra Department of Biostatistics - School of Allied Medical Sciences - Shahid Beheshti University of Medical Sciences, Tehran , Hosseini, Jalil Men’s Health and Reproductive Health Research Center (MHRHRC) - Shahid Beheshti University of Medical Sciences, Tehran
Abstract :
Introduction: Erectile dysfunction is one of the most common sexual disorders in men and affects one out of every five men over the age of 40 years. Penile revascularization is one of the methods for treating erectile dysfunction in these patients.
Methods: The participants were patients who had erectile dysfunction after a pelvic fracture. These
patients had Urethroplasty for at least one year ago due to urethral trauma and also undergone
penile micro vascularization surgery. Sexual activity was allowed from the second month accompanied with the administration of tadalafil and yohimbine prior to intercourse.
Results: In this study, 52 patients with the mean age of 30.65 ± 7 years (range: 24-45) were included. 24 patients (46%) were married. The mean time interval between pelvic fracture and surgery was 49.80 ± 16.30 months (range: 22 to 85). Complete response was seen in 9 cases (17.3%),
relative responses in 18 (34.6%), and treatment failure in 25 cases (48.1%). The treatment results
did not show any significant difference between the two dissimilar surgical procedures (Micheal
versus-Virag) (P = 0.58).
Conclusion: Based on this case-series, it is concluded that penile revascularization surgery seems
to have a relatively good effect on the improvement of vascular erectile dysfunction in patients with pelvic fracture urethral distraction effect following Urethroplasty.
Keywords :
Erectile Dysfunction , Penile Revascularization , Pelvic Fracture , Intracavernosal Injection
