الفهرس | Only 14 pages are availabe for public view |
Abstract Recently, it has been estimated that about 10% of all men are impotent, large numbers of these impotent patients wish to have their impotence problem corrected as naturally as possible. Venogenic impotence is one of the commonest causes of erectile dysfunction. Therefore, this study aimed at determining ?f the incidence of venogenic impotence among the impotent patients, and at evaluating the different methods of diagnosis of this type of impotence as well as evaluating the results of -\ venous surgery. In addition, extension of the work was.,- m ade also to involveiother diagnostic and therapeutic aspects of erectile dysfunction. This study had two components: diagnostic and therapeutic. The diagnostic component included 400 impotent patients and 33 potent men as a control group. The later group underwent DICC to standarize its parameters. The diagnostic work-up of every patient was carried out according to a three step protocol. The first step comprised clinical evaluation. The second step included the lab investigation. The third step was concerned with the erectile function tests whether essential as DICC or complementary as NPT or optional as radioisotope penogram. The therapeutic component of this study included 83 patients who,k underwent venous surgery, 73 patients who received ICI of pharmacotherapy and 11 patients whom were treated by penile prosthesis . Venous surgery involved 3 procedures namely, DDV excision-ligation, bilateral internal iliac vein and Santorini’s plexus ligation and cavernous veins ligation with DDV excisionligation. |