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Penile revascularization surgery offers hope to men who suffer from erectile dysfunction because of a localized vascular lesion caused by traumatic injury to the pelvis or perineum. This procedure involves an arterial bypass that can restore robust blood flow to the penis.
Introduction
PDE5 inhibitors, such as Viagra and Cialis, are the first line of treatment for men with erectile dysfunction caused by insufficient blood flow to the penis. However, this form of treatment is a nonstarter for a select subset of men whose ED is caused by traumatic or repetitive injury to the delicate network of blood vessels that supply the male genitals.
A very specialized surgical procedure known as penile revascularization surgery offers new hope to men who have suffered traumatic injury to the perineum or have compromised blood by years of bicycle riding.
According to the Boston University School of Medicine, this surgery, also known as a microvascular arterial bypass, is not designed to help men with generalized vascular problems. In such cases, the vascular compromise is so widespread that the risk of recurrent blockage is too high.
Because of the extremely delicate nature of this surgery, men who feel they might be candidates should exercise great care in selecting a surgeon to do the job. According to the BU School of Medicine, a surgeon must first have extensive training in microvascular surgery as well as a working knowledge of the specialized equipment that is utilized for such procedures.
Leading Cause of ED
Insufficient blood flow to the penis accounts for an inordinately large percentage of all diagnoses of ED. However, in the vast majority of these cases, the vascular insufficiency is diffuse and not caused by a single lesion that’s restricting blood flow. Common causes of generalized vascular insufficiency include atherosclerosis, diabetes, and high blood pressure. Atherosclerosis is the buildup of fatty plaques on the inner walls of arteries.
As previously noted, penile revascularization surgery is not intended to treat men with generalized vascular insufficiency. Rather, it’s designed to bypass a localized lesion in a penile artery. Such lesions can result from traumatic injury to the pelvis or perineum, the area between the anus and the scrotum. They might also occur as a result of some repetitive pressure that’s exerted on the perineal area. And regular bicycle riding is an example of just such pressure.
What the Surgery Involves
This form of surgery has been likened by some to a cardiac bypass, but in this case, the goal of the procedure is improved blood flow not to the heart but to the penis. In most cases, penile revascularization surgery involves a bypass from the inferior epigastric artery to the dorsal penile artery.
Working with the help of an operating microscope, the surgeon first makes an incision just above the penis. From within the incised area, the dorsal penile artery is exposed and isolated.
A second incision is then made in the lower abdomen to expose and isolate the inferior epigastric artery, which is one of several blood vessels that supply blood to the rectus abdominus muscle. Diverting this artery from its normal purpose can be done safely because it is not essential to ensure the muscle’s normal function.
Now using the guidance of the operating microscope, the surgeon connects the inferior epigastric artery to the dorsal penis artery. With this new connection, the penis now receives robust blood flow that was previously compromised by insufficient blood flow to and within the dorsal penile artery.
Finding the Ideal Candidate
As we’ve previously explained, penile revascularization surgery is not for everybody but rather for those with localized traumatic injury to the blood vessels that supply the penis.
According to the BU School of Medicine, ideal candidates for this form of surgery are “young men with a history of perineal or pelvic trauma in whom arteriography reveals a localized common penile artery lesion.”
Some studies have shown that older patients with localized vascular lesions such as those discussed earlier don’t respond as well as young men to this specialized surgery.
Pelvic Fracture Urethral Injury
According to the Center for Reconstructive Urology, penile revascularization surgery is rarely indicated for men who suffer from ED as a result of a pelvic fracture urethral injury (PFUI). This particular injury is often seen in men who’ve suffered pelvic fracture in motor vehicle accidents or crush injuries.
In such cases, the trauma can cause a break in the urethra just under the prostate. To repair this damage, surgeons perform a procedure known as a posterior urethroplasty. It involves the removal of scar tissue between the broken ends of the urethra and the subsequent reconnection of those severed ends. In some situations, however, surgeons may opt to perform penile revascularization surgery prior to the urethroplasty to ensure that blood flow will be sufficient to ensure healing.
Ordering ED Drugs Online
Many men whose vascular-related ED can be treated with the oral ED drugs known as PDE5 inhibitors have found that they can save both time and money by ordering those medications online from eDrugstore.com.
In business since the late 1990s, Arizona-based eDrugstore stocks a full range of ED medications, including both brand-name and generic drugs. It also offers a limited selection of other lifestyle drugs and products. Its prices cover not just the medications it sells but also a host of added-value services.
By ordering online, you’ll avoid trips to and from the local pharmacy as well as any time spent waiting for your prescription to be filled. And if you don’t yet have a prescription, eDrugstore has a service that can help with that as well. Just opt for a complimentary online consultation, and you’ll be matched up with a physician licensed to practice in your state. If the doctor decides that you’re an appropriate candidate for the drug, a prescription will be authorized.
Once you place an order, eDrugstore staffers will see to it that the order is filled promptly, packaged discreetly, and shipped free of charge to the destination of your choice. If yours is a first-time order, a complimentary pill-splitter will be enclosed as a token of appreciation for your business.
To learn more about eDrugstore and all its products and services, pay a visit to its Erectile Dysfunction page.
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