Indications for penile revascularization and long-term results

The purpose of this study was to analyse long‐term results of penile revascularization using Hauri's method in 124 patients with a mean follow‐up of 54 months. Of 176 patients undergoing this procedure, 124 were available for detailed analysis. The patients ranged in age from 22 to 71. A total of 25.8% of the patients (32/124) responded to intracavernous injection (ICI). Postoperatively, 74 patients (59.7%) exhibited spontaneous erections. Patients were classified as ‘satisfied’ or ‘dissatisfied’. In those who were satisfied, a high correlation was found (63/74=85%) between graft patency, as judged by ultrasound, and erectile function. The benefit for non‐responders to ICI (60/92) was higher than for responders (14/32). Only five of 12 diabetics profited from penile revascularization. A serious complication was glans hyperemia in 9/124 cases (7%). Based on this experience, the following indicators are recommended for case selection: (i) non‐responder to ICI; (ii) age less than 55 years; (iii) nondiabetic; (iv) cavernous leakage excluded; (v) stenosis in the internal pudendal artery.