Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction

BMJ Case Rep. 2018 Jan 18:2018:bcr2017223496. doi: 10.1136/bcr-2017-223496.

Abstract

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.

Keywords: interventional radiology; sexual health.

Publication types

  • Case Reports

MeSH terms

  • Embolization, Therapeutic* / methods
  • Erectile Dysfunction / diagnostic imaging
  • Erectile Dysfunction / etiology
  • Erectile Dysfunction / surgery*
  • Humans
  • Impotence, Vasculogenic / complications
  • Impotence, Vasculogenic / diagnostic imaging
  • Impotence, Vasculogenic / surgery*
  • Ligation
  • Male
  • Middle Aged
  • Multimodal Imaging
  • Patient Satisfaction
  • Penis / blood supply*
  • Penis / surgery
  • Treatment Outcome
  • Urologic Surgical Procedures, Male* / methods
  • Veins / abnormalities*
  • Veins / diagnostic imaging
  • Veins / surgery