Revascularization in Arteriogenic Erectile Impotence

After overcoming the Freudian quagmire and applying advanced techniques to the evaluation of erectile dysfunction, we have come to the realization that the vast majority of erectile impotence cases (80%–90%) have a morphologic cause. Up to 80% of these cases, in turn, can be linked to vascular disease, with arterial lesions playing a predominant role. The poor long-term results of venous surgery for impotence suggest that “venous leakage” is not strictly a venous disease; our experience indicates that arterial pathology also has causal significance in these cases.