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Penile revascularization is a specialized vascular-surgical treatment option for erectile dysfunction. The 2009 International Consultation on Sexual Dysfunctions recommended that revascularization be limited to nonsmoker, nondiabetic men younger than 55 years of age with isolated stenosis of the internal pudendal artery with absence of venous leak. [1]
Venous leak is an inability to maintain an erection in the presence of sufficient arterial blood flow through the cavernosal arteries of the penis. [6] The defect lies in the excessive drainage of veins in the cavernosal tissue of the penis, which undermines normal erectile function.
The review states that the condition affects 20% of men under the age of 30, 25% of men in their 30s, 40% of men in their 40s, 60% of men over the age of 50 and 80% of men after their 60th birthday.
Arteries and veins of the penis. The penile artery (also known as the common penile artery) is the artery that serves blood to the penis. It is a terminal branch of the internal pudendal artery, along with the scrotal artery. It subdivides into three arteries, the bulbourethral artery, the dorsal artery of the penis and the cavernosal artery.
When a large amount of blood flows to the genital region, the penis becomes erect and the testicles also experience increased blood flow and swelling. [4] In the vulva, the blood flow increases in erectile tissue, causing it to expand. After orgasm, the tissue shrinks back to its initial size as most of the blood leaves.
In the male varicocele, this plexus of veins drains blood from the testicles back to the heart. The vessels originate in the abdomen and course down through the inguinal canal as part of the spermatic cord on their way to the testis. Varicoceles occur in around 15% to 20% of all men. [3] [4] The incidence of varicocele increase with age ...
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