Several surgical techniques have been applied to the treatment of cavernosal venous leakage sufficient to create erectile dysfunction, and success rates of around 40% with long-term follow-up have been reported by various authors. In light of
this
poor
outcome, we studied deep dorsal vein arterialization (DDVA) using the Furlow-Fisher modification of the Virag 5 operation in four patients who ranged in age from 27 to 48 years. None had evidence of neurogenic or endocrinologic abnormality to
contribute
to their erectile dysfunction, and all patients had venous leakage without arterial problems, as confirmed by pharmacologic cavernosmetry, cavernosography, and pudendal angiography. At follow-up from 3 to 10 months, all patients had total return
of
erectile function sufficient for satisfactory unaided intercourse. At long-term follow-up from 18 to 27 months, one patient maintained a satisfacotry sexual life, two patients came to require intracavernosal injection therapy of vasoactive drugs
because
of moderated decreases of erectile rigidity; the remaining patient was lost to follow-up. From our early experience, it appears that DDVA is a useful alternative for the treatment of venogenic impotence, although further clinical investigation is
required.
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