Indications for penile revascularization and long-term results

The purpose of this study was to analyse long-term results of penile revasc ularization using Hauri's method in 124 patients with a mean follow-up of 5 4 months. Of 176 patients undergoing this procedure, 124 were available for detailed analysis. The patients ranged in age from 22 to 71. A total of 25 .8% of the patients (32/124) responded to intracavernous injection (ICI). P ostoperatively, 74 patients (59.7%) exhibited spontaneous erections. Patien ts were classified as 'satisfied' or 'dissatisfied'. In those who were sati sfied, a high correlation was found (63/74 = 85%) between graft patency, as judged by ultrasound, and erectile function. The benefit for nonresponders to ICI (60/92) was higher than for responders (14/32). Only five of 12 dia betics profited from penile revascularization. A serious complication was g lans hyperemia in 9/124 cases (7%). Based on this experience, the following indicators are recommended for case selection: (i) nonresponder to ICI; (ii) age less than 55 years; (iii) non diabetic; (iv) cavernous leakage excluded; (v) stenosis in the internal pud endal artery.