Venous Impotence: Pathophysiology, Diagnosis and Treatment

The role of the blood outflow pathway of the penis in the mechanism of erection has long been the subject of controversy.1 Recent dynamic vascular studies have clearly demonstrated that venous outflow restriction is essential for initiating and maintaining a rigid erection. Many surgical techniques have been described to treat patients presenting with venous leakage as a cause of impotence but none of the surgical approaches is entirely satisfactory.