What is it about?
This short clinical report describes an anatomy‑driven surgical approach—penile venous stripping—used as a salvage option to restore erections in men whose prior penile vascular procedures failed, and it reports meaningful improvements in erectile scores after surgery
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Why is it important?
This report documents a consecutive series of men referred after unsuccessful penile vascular interventions in which penile venous stripping surgery (PVSS) produced statistically significant improvements in erectile function and durable intracorporal fluid retention on imaging—outcomes that matter directly to patients facing limited options. The study also exposes treatment‑related harms from prior procedures (fibrosis, migrated embolization coils) and links surgical technique (avoidance of electrocautery, anatomy‑driven stripping) to better tissue preservation and outcomes.
Perspectives
Penile venous stripping offers a salvage option for men with persistent venogenic erectile dysfunction after failed vascular interventions. It emphasizes careful hemodynamic confirmation of veno‑occlusive dysfunction and strict patient selection to maximize benefit and avoid futile reoperation. Clinicians should weigh the potential for meaningful IIEF‑5 improvement against fibrosis from prior procedures and the single‑center, retrospective nature of the evidence.
Dr. Geng Long Hsu
Read the Original
This page is a summary of: Management of erectile dysfunction in patients who failed prior vascular intervention, Urological Science, June 2015, Medknow,
DOI: 10.1016/j.urols.2015.06.136.
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