SIR 2024
Men's Health
Manhalh Bakdash, MD
Radiology Resident
Indiana University
Financial relationships: Full list of relationships is listed on the CME information page.
Nabih Diab, MD
Interventional Radiology Fellow
Indiana University
Disclosure information not submitted.
Eslam W. Youssef, MD, PhD, MS
Assistant Professor of Clinical Radiology and Imaging Sciences
Indiana University
Disclosure information not submitted.
Understanding Venogenic Erectile Dysfunction (VED): including its etiology, clinical presentation, and impact on patients' lives.
Exploring Dorsal Vein Embolization (DVE): principles, techniques, procedural details, patient selection criteria, and the potential benefits and risks.
Anatomy and Physiology of VED.
Diagnostic Tools and Multidisciplinary Approach including different medical specialties.
Enhancing awareness: to improve the quality of life for men experiencing VED.
Background: Erectile dysfunction (ED) remains a distressing condition affecting millions of men worldwide. Among the various etiologies, VED represents a distinctive subset that has gained increasing recognition over the years.
VED is characterized by impaired venous outflow from the penis, resulting in the inability to maintain an erection suitable for sexual intercourse. This condition often stems from venous leakage due to structural or functional abnormalities within the dorsal penile veins.
Traditional therapies for VED have included oral medications, vacuum erection devices, and intracavernosal injections. However, these treatments may not address the underlying venous insufficiency effectively. DVE, a minimally invasive procedure, has emerged as a promising alternative for individuals with VED.
Clinical Findings/Procedure Details: For patients who have not responded to conventional medical treatments for VED, DVE can be considered as an alternative intervention. This procedure involves the use of ultrasound-guided anterograde access through a deep dorsal penile vein. A liquid embolic agent, typically a combination of ethiodized oil and cyanoacrylate-based glue, such as n-butyl 2 cyanoacrylate (NBCA) monomer, is employed for venous occlusion. To ensure the appropriateness of embolization, a comprehensive assessment of venous leakage is conducted, often through penile duplex sonography and/or computed tomography cavernosography. The primary outcome of DVE's efficacy can be quantified using the International Index of Erectile Function-15 (IIEF-15) score.
Conclusion and/or Teaching Points: DVE represents a promising therapeutic option for VED, offering hope and improved outcomes for individuals facing this challenging condition. this abstract is designed to help participants achieve a deeper understanding of VED, the procedural details of dorsal vein embolization, and the potential benefits of this treatment option. It not only imparts knowledge but also encourages collaboration and advancements in the field of sexual medicine to benefit patients facing the challenges of VED.