What is it about?
A retrospective clinical report evaluating penile venous stripping surgery (PVSS) as a salvage option for men with persistent erectile dysfunction after prior vascular interventions. The authors reviewed 49 consecutive referrals (1999–2016); 36 patients underwent PVSS and were followed for up to 16.5 years to assess safety, imaging, and erectile outcomes.
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Why is it important?
This article matters because it documents a large, long‑term clinical experience showing that anatomy‑driven penile venous surgery and acupuncture‑assisted local anesthesia can be safe, effective, and feasible alternatives for selected patients who have failed prior vascular treatments for erectile dysfunction. It moves the conversation beyond isolated case reports toward practical, reproducible protocols that clinicians can evaluate and test.
Perspectives
This series highlights an anatomy‑driven surgical option for men with persistent venogenic erectile dysfunction after prior vascular attempts. It suggests that meticulous venous stripping and ligation can restore intracorporal fluid retention and improve IIEF‑5 scores in selected patients. The technique is best viewed as a specialized, salvage procedure that requires experienced microsurgical teams and rigorous preoperative hemodynamic assessment.
Dr. Geng Long Hsu
Read the Original
This page is a summary of: Penile venous stripping surgery is a viable option for erectile dysfunction after unsuccessful vascular interventions, Clinical Practice, January 2017, OMICS Publishing Group,
DOI: 10.4172/clinical-practice.100100.
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