Angiography and endovascular revascularization of pudendal artery atherosclerotic disease in patients with medically refractory erectile dysfunction

J Invasive Cardiol. 2012 May;24(5):236-40.

Abstract

Purpose: To report a technique for endovascular treatment of pudendal artery stenoses in medically refractory erectile dysfunction.

Case report: Three men with known peripheral arterial disease and erectile dysfunction that was non-responsive to treatment with phosphodiesterase inhibitors underwent angiography and stent placement of the pudendal artery. Stent placement was performed using standard endovascular techniques. All 3 patients reported significant improvement in erectile function following revascularization.

Conclusion: Percutaneous treatment of pudendal artery stenoses with stents is feasible and offered significant benefit to these 3 patients.

MeSH terms

  • Angioplasty, Balloon
  • Atherosclerosis / diagnostic imaging
  • Atherosclerosis / epidemiology*
  • Atherosclerosis / therapy*
  • Comorbidity
  • Constriction, Pathologic
  • Drug-Eluting Stents
  • Humans
  • Iliac Artery / pathology
  • Impotence, Vasculogenic / diagnostic imaging
  • Impotence, Vasculogenic / drug therapy
  • Impotence, Vasculogenic / epidemiology
  • Impotence, Vasculogenic / therapy*
  • Intermittent Claudication / epidemiology
  • Intermittent Claudication / therapy
  • Male
  • Middle Aged
  • Penis / blood supply*
  • Peripheral Arterial Disease / epidemiology
  • Phosphodiesterase 5 Inhibitors / therapeutic use
  • Radiography
  • Treatment Failure
  • Treatment Outcome

Substances

  • Phosphodiesterase 5 Inhibitors