Surgical approach for treatment and prevention of vasculogenic erectile dysfunction

SUMMARY BOX ✧✧ Many retrospective studies have reported outcome data for penile revascularization surgery for arteriogenic erectile dysfunction (ED). ✧✧ These studies are limited by variable inclusion and exclusion criteria, short length of follow-up, and lack of objective follow-up data. ✧✧ Young men who have sustained traumatic arterial lesions appear to have better outcomes than elderly patients. ✧✧ There are no comparative prospective randomized studies assessing outcome of penile revascularization surgery for arteriogenic ED. ✧✧ Corporoveno-occlusive dysfunction (CVOD) surgery in the management of ED remains controversial. ✧✧ The weight of available evidence is contrary to routine use as a treatment option for ED. ✧✧ CVOD surgery as it is practiced today does not conform to the desiderata of good clinical practice or evidence-based medicine.