Surgical management of erectile dysfunction

  • Mohammed S. AbdelKader
  • Ahmed M. Hassan
  • AbdelRahman M. Moubarak
  • Gamal A. Alsagheer
Keywords: erectile dysfunction, PDE-5i, penile revascularization,venous arterialization, penile prosthesis.


Aim: The aim of this articule is to make a comprehensive review on the update of surgical
managent of erectile dysfunction.
Abstract: Erectile dysfunction (ED) is the inability to achieve and maintain an erection sufficient to permit
satisfactory sexual intercourse. Approximately 23% of men aged 40-80 years worldwide have symptoms
of ED. The prevalence of ED is higher in older men but can occur at any age. In men with diabetes, the
prevalence of ED ranges between 30-90% and maybe the presenting symptom for the disease in almost a
third of cases. The introduction of oral phosphodiesterase inhibitors revolutionized the care of these
patients, but surgery still has a clear role when these inhibitors and other approaches fail or are
contraindicated. The surgical management of ED, including penile vascular (arterial and venous)
reconstruction, penile prosthesis implantation and the correction of curvature abnormalities (ie,
peyronies disease).