The treatment of male organic impotence of vascular origin

: Two cases are presented, of male sexual impotence of vascular origin. In one case presenting with obstruction of the pudenda artery revascularization of the penis was achieved by anastomosis of the inferior epigastric artery to the deep dorsal vein of the penis. In the second case the insufficient erection was due to a rapid venous drainage of the cavernous bodies, and a venous disjunction was carried out, involving all the superficial veins of the penis and the deep dorsal vein. The results obtained were good. The importance is stressed of the test to papaverin for the differentiation of patients with psychogenic impotence, and the value of the Doppler study for the evaluation of the arterial deficiency of the penis, that should be confirmed by selective angiography. Finally the authors stress the importance of cavernography and of cavernometry for the diagnosis of impotence due to the venous loss.