Login to Access Video or Poster Abstract: MP25-16
Sources of Funding: none

Introduction

To determine the overall long-term success of penile revascularization surgery in the treatment of vasculogenic erectile dysfunction and also to investigate the effect of risk factors on the results of a modified Furlow-Fisher technique.We completed our revascularization surgery results in our 50 erectile dysfunction patients having no risk factors except diabetes with a long term follow-up.

Methods

Between 2004 and 2015,225 patients with a mean age of 47.2(range:23–73) years underwent penile revascularization surgery.Among them, 50 patients were diagnosed as having diabetes mellitus and completed the mean 60,94±1,34 months follow-up.All the patients were routinely interviewed in the Departments of internal Medicine,Neurology,Psychiatry,and Anaesthesiology.Preoperative urological evaluation was performed with penile colour Doppler ultrasonography,corpus cavernosum electromyography(CC-EMG) and cavernosometry.At least five points of increase in the IIEF-5 score during the latest patient visit in the postoperative period compared with the preoperative period was regarded as improvement(surgical success).

Results

The mean total IIEF score was 28.1±5.7 before surgery,and it was 42.2±6.3 at the end of the follow-up(P<0.05).The mean IIEF-5 score was 8.3±2.2 before surgery,and it was 17.7±2.1 at the end of the follow-up(P<0.05).Before surgery, the mean Erectile Function-domain score was 11.6±3.4,and it was 21.7±6.1 at the end of the follow-up(P<0.05).According to the IIEF-15,32 patients achieved a no-ED threshold value of >26.According to the IIEF-5, the surgery was again successful in 35 of 50 diabetic patients(70%).

Conclusions

We suggest that penile revascularization surgery could be an alternative choice before penile prosthesis implantation in those patients having no risk factors except diabetes which is under control.

Funding

none