Use of vacuum tumescence device for impotence secondary to venous leakage

The causes and treatment of venogenic impotence are still controversial. From September 1989 to April 1991, 317 men complaining of impotence were evaluated in our Erectile Dysfunction Clinic. Seventy patients were suspected of having venous leakage, and all men had dynamic cavernosography performed....

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Published inUrology (Ridgewood, N.J.) Vol. 41; no. 3; pp. 225,229 - 228,230
Main Authors Blackard, Clyde E., Borkon, William D., Lima, Janet Swenson, Nelson, Joe
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.03.1993
Elsevier Science
Subjects
Biological and medical sciences
Erectile Dysfunction - etiology
Erectile Dysfunction - rehabilitation
Genital system. Mammary gland
Humans
Male
Medical sciences
Middle Aged
Patient Satisfaction
Penile Erection - physiology
Penis - blood supply
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Regional Blood Flow - physiology
Vacuum
Human
Medical equipment
Treatment
Erection disorders
Impotence
Vacuum technique
Instrumentation therapy
Cardiovascular disease
Male
Male genital diseases
Venous disease
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Summary:The causes and treatment of venogenic impotence are still controversial. From September 1989 to April 1991, 317 men complaining of impotence were evaluated in our Erectile Dysfunction Clinic. Seventy patients were suspected of having venous leakage, and all men had dynamic cavernosography performed. Forty-seven of these 70 men (67%) had venous leakage, and a vacuum tumescence device was recommended as initial treatment for all of them. A questionnaire was later mailed to all 47 patients. A response to the questionnaire was obtained from 45 men (96 %). Twenty-nine patients had purchased a vacuum tumescence device (Osbon ErecAid). A satisfactory result was obtained in 20 patients (69 %) with venous leakage. Since the use of the vacuum tumescence device is relatively safe and noninvasive, and the results are as good as or better than venous ligation, we recommend its use as the initial treatment of venogenic impotence until a consistently reliable treatment for this condition is found.
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ISSN:0090-4295
1527-9995
DOI:10.1016/0090-4295(93)90561-N