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Unusual presentation of more common disease/injury
CASE REPORT
Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction
  1. Marcus Hallerstrom1,
  2. Conrad Brice von Stempel2,
  3. Amr Raheem3,4,
  4. Miles Walkden5
  1. 1Department of Surgery, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2Department of Interventional Radiology, University College London Hospitals NHS Foundation Trust, London, UK
  3. 3Department of Andrology, University College London Hospitals NHS Foundation Trust, London, UK
  4. 4Department of Andrology, Cairo university Hospital, Cairo, Egypt
  5. 5Department of Imaging, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Dr Conrad Brice von Stempel, vonstempel{at}gmail.com

Summary

A 59-year-old man with a 6-year history of erectile dysfunction presented to the andrology outpatient clinic. Multimodality assessment with ultrasound, MRI venography and fluoroscopic venography demonstrated an aberrant emissary vein arising from the corporal bodies causing venogenic erectile dysfunction. Selective coil embolisation of the collateral vein resulted in an almost immediate and sustained improvement in his erections.

  • interventional radiology
  • sexual health

https://doi.org/10.1136/bcr-2017-223496

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    Footnotes

    • Contributors MH and CBvS wrote the original draft. AR edited the draft manuscript and helped consent the patient in clinic. MW and CBvS carried out the procedure. MW edited the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.