Haemodynamics / Flow dynamics, Education and training, Arteriosclerosis, Venous access, Embolisation, Education, Ultrasound-Power Doppler, Ultrasound-Colour Doppler, Catheter venography, Vascular, Interventional vascular, Genital / Reproductive system male
J. Periáñez1, E. Crespo1, A. Villalba Gutiérrez2, A. Hermosin Pena1, G. Monedero Herrador1, E. E. Daguer Tamayo1; 1Madrid/ES, 2Leganés/ES
Erectile dysfunction is defined as the inability to attain or maintain a penile erection of sufficient quality to allow satisfactory sexual performance. The prevalence of this condition increases with age.
There are many causes of erectile dysfunction including organic,
and combined causes.
It is essential to identificate organic causes,
because they are potentially treatables.
Erectile dysfunction is now being recognized as one of the earliest manifestations of endothelial dysfunction and peripheral vascular disease.
Stimulated CDUS of cavernosal arteries is the initial imaging technique of election to assess ED from vascular origin.
A PSV> 30 cm/s and an RI
higher than 0.8 are generally considered normal.
A EDV >5cm/s is suggestive of venous-leak.
Transcatheter venous embolisation for veno-occlusive dysfunction in ED is a safe and effective therapeutic option.
The minimally invasive nature of the procedure enabled us to perform the procedure in an out-patient setting with low costs. The ability to occlude even tiny venous collaterals that can be overlooked during surgical ligation makes this procedure superior to surgical treatment.