Skip to main content
SpringerLink
Log in

Is dorsale penile vein ligation (DPVL) still a treatment option in veno-occlusive dysfunction?

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Purpose: To determine the long-term results of the DPVL for the treatment ofvenous impotence.Patients and methods: The long-term results of DPVL in 134 patients wereinterviewed. The mean age was 39.2 (range 21–72). Power color doppler imaging,pharmacocavernography/dynamic cavernosometry were performed. Postoperatively,all the patients were controlled in the 6th month, first year and, ifpossible, once a year. The mean follow-up was 54.8 (14–76) months.Postoperative outcomes were classified into 3 groups: complete spontaneouserection (CR), response to pharmacotherapy (PR) or no satisfactory improvement(NR).Results: The short-term success in the 6th month according to abovementioned was 38.8%, 18.6% and 42.5%; and in the first year was 19.4%, 14.9% and 65.6% respectively. The result in 35 patients whose follow-up was at least 5 years (mean 67 months) was 11.4%, 14.3% and 74.3% respectively. Positive prognostic factors were preoperative age <40, duration of erectile dysfunction <2 y, non-smoker patients, non neurogenic disease and distal disease. With all these parameters present, long-term success (CR, PR) rose from 33.6% to 55.9% (p < 0.001).Conclusions: Long-term success for unselected patients undergoing DPVL isdisappointing; however, careful patient selection significantly improveslong-term results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Lue TF, Tanagho EA. Physiology of erection and pharmacological management of impotence. J Urol 1987; 137: 829.

    Google Scholar 

  2. Padma-Nathan H, Kelly L, Boyd SD. Ultrastructural evidence, in a population of potent men, for corporal smooth muscle myopathy as an inherent process of aging. J Urol 1993; 286A:149.

    Google Scholar 

  3. Lue TF. Male sexual dysfunction. In: Tanagho EA, McAninch JW, eds. Smith's General Urology. Norwalk, Connecticut: Appleton and Large, 1995: vol. 46, 772.

    Google Scholar 

  4. Lewis RW. Venous surgery in the patient with erectile dysfunction. Atlas Urol Clin North Am 1993; 1: 21.

    Google Scholar 

  5. Freedman AL, Costa Neto F, Mehringer CM, Raifer J. Longterm results of penile vein ligation for venos leakage. J Urol 1993; 1301: 149.

    Google Scholar 

  6. Peşkircioğlu L, Tekin I, Boyvat F, Karabulut A, Özkardeş H. Embolization of the deep dorsal vein for the treatment of erectile impotence due to veno-occlussiv dysfunction. J Urol 2000; 472: 163.

    Google Scholar 

  7. Witherington R. Suction device therapy in the management of erectile impotance. Urol Clin North Am 1988; 15: 123.

    Google Scholar 

  8. Lue TF. Penile venous surgery. Urol Clin North Am 1989; 16:607.

    Google Scholar 

  9. Yu GW, Schwab FJ, Melograna FS, De Palma RG, Miller HJ, Rickhold AL. Preoperative and postoperative dynamic cavernosography and cavernosometry: objective assessment of venous ligation for impotance. J Urol 1992; 147: 618.

    Google Scholar 

  10. Porst H, Ahlen HV, Leijoner N, Kaster O. Dynamische kaverosographie. Fortschr Röntgenstr 1986; 80: 145.

    Google Scholar 

  11. Wespes E, Moreira De Goes MP, Sattar AA, Schulman C. Objective criteria in the long-term evaluation of penile venous surgery. J Urol 1994; 152: 888.

    Google Scholar 

  12. Berardinucci D, Morales A, Heaton JP, Fenemore J, Bloom S. Surgical treatment of penile veno-occlussiv dysfunction: is it justified? Urology 1996; 47: 88.

    Google Scholar 

  13. Hwang TI, Yang C. Penile vein ligation for venogenic impotance. Eur Urol 1994; 26: 46.

    Google Scholar 

  14. Porst H. The rationale for prostaglandin E, in erectile failure: a surgery of world wide experience. J Urol 1996; 155: 802.

    Google Scholar 

  15. Lue TF. Physiology of penile erection. In: Jonas U, Thon WF, Stief CG, eds. Erection Dysfunction. Berlin, Springer, 1991:44.

    Google Scholar 

  16. Wespes E, Schulman CC. Venous leakage: surgical treatment of a curable case of impotance. J Urol 1985; 133: 796.

    Google Scholar 

  17. Wespes E, Delcour C, Preserowitz L, Herbaut AG, Struyven J, Schulman C. Impotance due to corporeal: veno-occlussive dysfunction: long-term follow-up of venous surgery. Eur Urol 1992; 21: 115.

    Google Scholar 

  18. Gilbert P, Sparwasser C, Beckert R, Treiber U, Pust R. Venous surgery in erectile dysfunction. The role of dorsal penile vein ligation and spongiolysis for impotance. Urol Int 1992; 49: 40.

    Google Scholar 

  19. Sasso F, Gulino G, Weir J, Vıggıano AM, Alcınıl E. Patient selection criteria in the surgical treatment of veno-occlussiv dysfunction. J Urol 1999; 161: 1145.

    Google Scholar 

  20. Katzenwadel A, Popken G, Watterauer U. Penile venous surgery for cavernosal venous leakage: long-term results and retrospective studies. Urol Int 1993; 50: 71.

    Google Scholar 

  21. Popken G, Katzenwadel A, Wetterauer U. Long-term results of dorsal penile vein ligation for symptomatic treatment of erectile dysfunction. Andrologia 1999; 31: 77.

    Google Scholar 

  22. Sparwasser C, Drescher P, Pust RA, Madsen PO. Longterm results with intracavernosal injections and penile venous surgery in chronic erectile dysfunction. Scand J Urol Nephrol 1994; Suppl 157: 107.

    Google Scholar 

  23. Kım ED, McVary KT. Long-term results with penile vein ligation for venogenic impotance. J Urol 1995; 153: 655.

    Google Scholar 

  24. Motiwala HG, Patel DD, Joshi SP, Baxi HM, Deasai KD, Shah KN. Experience with Penile Venous Surgery. Urol Int 1993; 51: 9.

    Google Scholar 

  25. Rossman B, Mıeza M, Melman A. Penile vein ligation for corporeal incompetance: an evaluation of short-term results. J Urol 1990; 144: 679.

    Google Scholar 

  26. Lue TF. World Book of Impotence. London: Smith Gordon/ Nishmura, 1992: suppl. 4.

    Google Scholar 

  27. Saenz de Tajeda I, Goldstein I, Azodzoi K, Krane RJ, Cohen RA. Impaired neurogenic and endothelium-mediated relaxation of penile smooth muscle from diabetic men with impotence. New Engl J Med 1989; 320: 1025.

    Google Scholar 

  28. Popken G, Katzenwadel A, Watterauer U. Long-term results of dorsal penile vein ligation for symptomatic treatment of erectile dysfunction. Andrologia 1999; 31: 77.

    Google Scholar 

  29. Christ GJ, Schwartz CB, Stone BA et al. Kinetic characteristics of α-adrenergic contractions in human corpus cavernosum smooth muscle. Amer J Physiol 1992; 263: H15.

    Google Scholar 

  30. Stief CG, Djamilian M, Truss MC, Tan H, Thon WF, Jonas U. Prognostic factors the postoperative outcome of penile venous surgery for venogenic erectile dysfunction. J Urol 1994; 151: 880.

    Google Scholar 

  31. Stief CG, Kellner B, Hartung C et al. Computer-assisted evaluation of the smooth-muscle electromyogram of the corpora cavernosa by fast fourier transformation. Eur Urol 1997; 31: 329.

    Google Scholar 

  32. Gorek M, Stief CG, Hartung C, Jonas U. Computer-assisted interpretation of electromyograms of corpora cavernosa using fuzzy logic. World J Urol 1997; 15: 65.

    Google Scholar 

  33. Hirsch M, Lubetsky R, Goldman H, Agarwal V, Melman A. Dorsal vein sclerosis as a predictor of outcome in penile venous ligation surgery. J Urol 1993; 150: 1810.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, SSK Dışkapı Training Hospital, Turkey

    M. Çakan, F. Yalçınkaya, F. Demirel, T. Özgünay & U. Altuğ

Authors
  1. M. Çakan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. Yalçınkaya
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Demirel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Özgünay
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. U. Altuğ
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Çakan, M., Yalçınkaya, F., Demirel, F. et al. Is dorsale penile vein ligation (DPVL) still a treatment option in veno-occlusive dysfunction?. Int Urol Nephrol 35, 529–534 (2003). https://doi.org/10.1023/B:UROL.0000025619.28367.cc

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/B:UROL.0000025619.28367.cc

Search

Navigation