Dergi Ara >>
Yıl:1999; Cilt: ; Sayı: 4>> Özet
Cinsel İşlev Bozuklukları Monograf Serisi; 1999;(4):26-31
Erektil Disfonksiyonun Cerrahi Tedavisi
MF Usta, U Kuyumcuoğlu, A Kadıoğlu
T.C. Sağlık Bakanlığı İstanbul Kartal Eğitim-Araştırma Hast. Üroloji Kliniği
Ereksiyon: Arteriyel kan akımında artış,
sinüzoidal relaksasyon, venöz rezistansın
artması ve hormonların etkisiyle oluşan
kompleks nörovasküler bir fenomendir.
Bu kompleks fizyolojik olayın herhangi
bir basamağında ortaya çıkan aksaklık ya da
fonksiyonel yetersizlik organik kökenli erektil
disfonksiyona neden olmaktadır. Erektil disfonksiyonu
olan hastaların yüzde 50-80 arasında
organik kökenli erektil disfonksiyona sahip oldukları
nı belirten yayınlar vardır.
Penil revaskülarizasyon, ven ligasyonu
ve penil protez implantasyonu, medikal tedaviden
yararlanamayacağına karar verilen ya da uygulanan medikal tedaviden fayda görmeyen
hastalarda tercih edilen cerrahi tedavi
modaliteleridir.
Bunun dışında Peyronie Hastalığı'nda da yüzde 4-80 oranında erektil disfonksiyona
rastlanmaktadır). Peyronie Hastalığı penisin
tunika albugineasının yaygın bir hastalığı
olup penil plak, ereksiyon anında ağrı ve penil
deformite semptomlarının biri ya da birkaçı
ile ortaya çıkmaktadır.

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