Surgical procedure: ligation of the dorsal vein of the penis
Surgery was performed on patients with evidence of veno-occlusive dysfunction, with venous incompetence allowing leakage of blood into the intermediate and deep venous systems.
Factors associated with a better outcome:
(1) age of the patient < 40 years
(2) secondary erectile dysfunction
(3) duration of ED < 2 years
(4) non-smoker
(5) nondiabetic
(6) site of leakage distal
The more factors present the better the outcome. A patient with no or few factors is likely to have a disappointing outcome.
Complications:
(1) surgical site infection
(2) penile edema, which may be transient or prolonged
(3) painful erection
(4) penile curvature
