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BMJ Case Reports 2018; doi:10.1136/bcr-2017-223496
  • Unusual presentation of more common disease/injury
  • CASE REPORT

Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction

  1. 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
  • Accepted 31 December 2017
  • Published 18 January 2018

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.

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.

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