Objective:

Penile venocclusive dysfunction is recognized as a cause of erectile dysfunction in some young patients with no other risk factors. The objective of the study is to report the results of surgery for this pathology in patients under 40 years of age, with follow-up up to 6 months post-treatment.

Method:

A descriptive study was carried out in a retrospective cohort of medical records with 50 patients with inclusion criteria, evaluated and submitted to standardized surgery by the same surgeon between 01/2014 and 10/2021. A symptom score (Sexual Health Inventory for Men [SHIM]) was applied to the group, before surgery, and 3 and 6 months after. The pre- and post-operative SHIM results have been related to the different degrees of erectile dysfunction and, additionally, they were divided into three groups according to criteria defined as successful, moderate, and poor. The diagnosis of venous leaks was made by vasoactive penile Doppler ultrasound, recording venous leaks, degree of penile fibrosis and presence of soft glans penis. The study protocol was approved by the Research Committee of the Pablo Tobon Uribe Hospital, in Medellín.

Results:

Age range at the time of the procedure 18-50 years, mean age 31.2 years and onset of erectile dysfunction 23.4 years. Time of evolution of the disease before attempting surgery varied between 2 and 21 years (average 7.5 years). Erection status according to the preoperative SHIM was severe erectile dysfunction 4 (8%) and moderate 46 (92%). The outcomes at 6 months were 11 (22%) with moderate erectile dysfunction, 20 (40%) switched to mild and19 (38%) were left without erectile dysfunction. Additionally, according to additional analysis to the SHIM, 34 (68%) were successful, 6 (12%) moderate and 10 (20%) poor.

Conclusions:

Ligation of penile dorsal venous leaks has good medium-term results in terms of erection quality and patient satisfaction.

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