Case presentatiom of penile artery steal syndrome and literature review
Authors:
J. G. Pavlinec; T. S. Hakky; J. Emtage; D. Martinez; R. Simon; J. Parker; R. Munarriz; K. Massis; R. E. Carrion
Published in:
Urol List 2013; 11(4): 18-24
Overview
Penile revascularization is a re-emerging surgical approach ideally suited for young patients with isolated traumatic vasculogenic erectile dysfunction (ED) and no risk factors. We reviewed the literature on penile revascularization and present the interesting case of a 27-year-old man with severe organic ED attributed to a fall onto his back at age 14. Diagnostic work-up revealed severe insufficiency of the left cavernosal artery, with no evidence of venous leak. The patient underwent operative penile revascularization with documented patent anastomosis according to penile duplex Doppler ultrasound, but his ED continued post-operatively. Subsequent arteriography was performed and revealed a left-sided steal phenomenon due to an aberrant obturator artery arising from the donor inferior epigastric artery. The patient underwent successful embolization of the obturator artery, with resolution of the steal and improvement in erectile function. We report this case as Penile Artery Steal Syndrome (PASS), an iatrogenic cause of ED attributable to revascularization in the setting of anomalous vasculature.
Key words:
penile artery steal syndrome (PASS), microarterial bypass, erectile dysfunction, embolization, pelvic steal syndrome
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Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2013 Issue 4
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