Abstract
Increased drainage from the corpora cavernosa hinders the erectile high-pressure system (Lue et al. 1983). Recent results of dynamic cavernosograms, measurements of intracavernous pressure, and the maintenance index of erection have shown that various leaks may exist alone or in conjunction with other lesions (Lue et al. 1983; Buvat et al. 1986; Lewis et al. 1986; Stief 1986; Porst and Ahlen 1986; Virag 1985; Wespes and Schulman 1985; Wagenknecht and Shukfeh 1986). Increased venous drainage is diagnosed on the basis of early and later camera exposures during cavernosography, glans appearance time, and maintenance index. If a maintenance flow of more than 100–140 ml/min is necessary for erection, a leak may be assumed to exist.
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References
Buvat J, Lemaire A, Buvat-Herbaut M, Dehaene JL, Marcolin G (1986) Erectile impotence with venous incompetence: extensive study of 64 cases. Proceedings of the 2nd World Meeting on Impotence, Prague, 1986, University Press, Prague.
Duncan JA (1895) Old age — a myth. Toledo Med Surg Rep 8: 163.
Lewis RW, Puyau FA, Bell DP (1986) Another surgical approach for vasculogenic impotence. J Urol 136: 1210.
Lue FF, Zeineh SL, Schmidt RA, Tanago EA (1983) Physiology of penile erection. World J Urol 1: 194.
Lydston GF (1908) The surgical treatment of impotency. Amer J Clin Med 15: 1571.
Porst H, Ahlen J (1986) Flowmetrical and cavernosometrical studies in potent and impotent men — report on 140 cases. Proceedings of the 2nd World Meeting on Impotence, Prague, 1986.
Richard DJ (1982) Anatomy, physiology and neurophysiology of male sexual function. In: Bennet AH (ed) Management of male impotence. Williams and Wilkins, Baltimore.
Stief CG (1986) Suggestion for classification of venous leakage. Proceedings of the 2nd World Meeting on Impotence, Prague, 1986.
Tudoriu T (1986) The importance of the sclerosis of the corpora cavernosa. Proceedings of the 2nd World Meeting of Impotence, Prague, 1986.
Virag R (1985) Human penile erection. J Urol 133: 191.
Wagenknecht LV (1988) Impotenz: Pathophysiologie — Diagnostik — Therapie. Diesbach, Berlin.
Wagenknecht LV, Shukfeh F (1986) Value of infusion-cavernosography for diagnosis of erectile lesions. Proceedings of the 2nd World Meeting of Impotence, Prague, 1986.
Wagenknecht LV, Furlow WL, Auvert J (1981) Genitourinary reconstruction with prostheses. Thieme-Stratton, New York.
Wagner G (1984) Vascular mechanisms involved in human erection. Int Angiol 3: 221.
Wespes E, Schulman CC (1985) Venous leakage: surgical treatment of a curable cause of impotence. J Urol 133: 796.
Wooten JS (1902) Ligation of the dorsal vein of the penis as a cure for atonic impotence. Texas Med J 18: 325.
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© 1989 Springer-Verlag Berlin Heidelberg
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Wagenknecht, L.V. (1989). Therapy for Increased Venous Drainage in Organic Impotence. In: Eicher, W., Kubli, F., Herms, V. (eds) Plastic Surgery in the Sexually Handicapped. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73565-3_21
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DOI: https://doi.org/10.1007/978-3-642-73565-3_21
Publisher Name: Springer, Berlin, Heidelberg
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