RESUMO
Penile revascularization surgery to correct penile vascular insufficiency has undergone several modifications since its introduction. Further improvement in the surgical success rate will be achieved with improved understanding of erectile physiology, diagnostic methodology, and both microsurgical and radiological techniques.
Assuntos
Pênis/irrigação sanguínea , Pênis/cirurgia , Adulto , Seguimentos , Humanos , Impotência Vasculogênica/diagnóstico , Impotência Vasculogênica/cirurgia , Masculino , Pessoa de Meia-Idade , Ereção Peniana , Urologia/métodosRESUMO
Until the early 1970s impotence was believed to be primarily a psychological disorder. The treatment usually consisted of empiric testosterone administration and psychotherapy, that were often ineffective. The introduction in the early 1970s of penile implants changed the treatment options and at the same time ushered in the modern era of male sexual medicine. Clinical as well as laboratory research improved significantly the diagnosis and treatment options of the impotent man. Today the man with a sexual problem has a much better chance of proper diagnosis and effective treatment.