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D. Preston Flanigan, MD; Kim R. Sobinsky, MD; James J. Schuler, MD; Dale Buchbinder, MD; Philip G. Borozan, MD; Joseph P. Meyer, MD

Arch Surg. 1985;120(3):271-274.

Abstract
• Five impotent men underwent internal iliac artery revascularization in conjunction with end-to-side aortobifemoral bypass after preoperative testing suggested a vasculogenic cause for impotence. All patients had abnormal preoperative penile/brachial arterial pressure indices (mean, 0.42±0.12). Following operation, all patients regained erectile capability and had normal postoperatve penile/brachial indices (mean, 0.80±0.06). One patient developed retrograde ejaculation, emphasizing the need for meticulous nerve-sparing dissection with this operation. Internal iliac artery revascularization in conjunction with end-to-side aortobifemoral bypass is effective in relieving vasculogenic impotence in properly selected patients.

(Arch Surg 1985;120:271-274)

Author Affiliations
From the Division of Vascular Surgery, Department of Surgery, West Side Veterans Administration Medical Center, Chicago, and the University of Illinois College of Medicine at Chicago.

Footnotes
Accepted for publication Dec 4, 1984.

Read before the Eighth Annual Surgical Symposium of the Association of Veterans Administration Surgeons, Los Angeles, May 10, 1984.

Reprint requests to Division of Vascular Surgery, Department of Surgery, 518-J, University of Illinois at Chicago, PO Box 6998, Chicago, IL 60680 (Dr Flanigan).

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ABSTRACT