Penile Vascular Surgery

Isolated stenosis or occlusion of the extrapenile arteries is amenable to surgical repair. Restoration of potency has been reported after surgery of the internal iliac and internal pudendal arteries. Currently, the most commonly used technique for penile revascularization is a bypass from the inferior epigastric artery to the dorsal artery or deep dorsal vein of the penis. This procedure is indicated only in young men with congenital or traumatic arterial insufficiency (_{Hakim et al, 1995}). 

Medication Causing Erectile Dysfunction

Although it is believed that certain medications can cause sexual function issues such as erectile dysfunction, it is very difficult to determine whether a specific medication is the cause of erection problems.

The main problem is that many disease themselves can cause erectile dysfunction. Another problem is that a medication side effect such as erectile dysfunction often goes unreported due to embarrassment – as a result that actual rate of erectile dysfunction caused by a specific medication may be much higher than is officially reported.