If your erectile dysfunction was caused by damage to your blood vessels or by venous leak, you may be a candidate for vascular reconstructive surgery.
There are two types of blood vessel surgery for ED:
- Penile arterial revascularization
- Venous ligation surgery
ED and Penile Arterial Revascularization
Penile arterial revascularization is a surgical treatment for impotence that reroutes blood around a damaged or blocked artery in order to increase blood flow to the penis. During the surgery, a piece of healthy artery is connected to either side of the damaged artery so that the blood bypasses the area that is damaged and continues to flow to the penis.
Good candidates for penile arterial revascularization are young men (under the age of 50) with erectile dysfunction that was caused by trauma to the penis or pelvic area.
Penile Arterial Revascularization Complications
Complications of penile arterial revascularization may include infection, bleeding, decreased sensation in the penis, and pain.
ED and Venous Ligation Surgery
Venous ligation is a surgery for erectile dysfunction that blocks off the damaged vein, leaving only the good veins functional. It is used as a treatment for venous leak.
After you get an erection, the veins in the penis are supposed to keep the blood inside the penis, so that the penis remains erect. A venous leak is a condition in which the veins to the penis are too weak to keep the blood from flowing back out of the penis once it flows in; the result is loss of the erection. During venous ligation surgery, the weak vein(s) is tied off or removed, which results in better blood flow to the penis.
Good candidates for venous ligation surgery are young men (under the age of 50) with erectile dysfunction caused by venous leak.
Venous Ligation Surgery Complications
Complications of venous ligation surgery may include infection, bleeding, scarring, blood flow problems, and pain.
Who Should Not Have Blood Vessel Surgery for ED?
According to the American Urologic Association, men with the following conditions should not undergo blood vessel surgery for erectile dysfunction:
- Tobacco use
- Insulin-dependent diabetes
- Hardening of the arteries (atherosclerosis)
- High cholesterol
- Injured nerves
- Other damaged blood vessels
For more information on blood vessel surgery, contact Leroy Jones, MD, urology doctor of San Antonio.