Improvement of Erectile Dysfunction by Revascularization Surgery Following Urethroplasty in Patients with Pelvic Fracture

Article Type:
Research/Original Article (دارای رتبه معتبر)

Erectile dysfunction is one of the most common sexual disorders in men and affects one out of every five men over the age of 40 years. Penile revascularization is one of the methods for treating erectile dysfunction in these patients.


The participants were patients who had erectile dysfunction after a pelvic fracture. These patients had Urethroplasty for at least one year ago due to urethral trauma and also undergone penile micro vascularization surgery. Sexual activity was allowed from the second month accompa- nied with the administration of tadalafil and yohimbine prior to intercourse.


In this study, 52 patients with the mean age of 30.65 ± 7 years (range: 24-45) were in- cluded. 24 patients (46%) were married. The mean time interval between pelvic fracture and sur- gery was 49.80 ± 16.30 months (range: 22 to 85). Complete response was seen in 9 cases (17.3%), relative responses in 18 (34.6%), and treatment failure in 25 cases (48.1%). The treatment results did not show any significant difference between the two dissimilar surgical procedures (Micheal versus-Virag) (P = 0.58).


Based on this case-series, it is concluded that penile revascularization surgery seems to have a relatively good effect on the improvement of vascular erectile dysfunction in patients with pelvic fracture urethral distraction effect following Urethroplasty.

Men's health journal, Volume:2 Issue: 1, Winter 2018
دانلود و مطالعه متن این مقاله با یکی از روشهای زیر امکان پذیر است:
اشتراک شخصی
با عضویت و پرداخت آنلاین حق اشتراک یک‌ساله به مبلغ 1,390,000ريال می‌توانید 70 عنوان مطلب دانلود کنید!
اشتراک سازمانی
به کتابخانه دانشگاه یا محل کار خود پیشنهاد کنید تا اشتراک سازمانی این پایگاه را برای دسترسی نامحدود همه کاربران به متن مطالب تهیه نمایند!
  • حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران می‌شود.
  • پرداخت حق اشتراک و دانلود مقالات اجازه بازنشر آن در سایر رسانه‌های چاپی و دیجیتال را به کاربر نمی‌دهد.
In order to view content subscription is required

Personal subscription
Subscribe for 70 € euros via PayPal and download 70 articles during a year.
Organization subscription
Please contact us to subscribe your university or library for unlimited access!