Reading Time: < 1 minuteIntroduction Erectile dysfunction (ED) affects approximately 30 million American men, with vasculogenic etiologies accounting for up to 80% of cases in those over 40 years. Predominantly linked to atherosclerosis, diabetes, and hypertension—prevalent comorbidities in the U.S. population—arteriogenic insufficiency and veno-occlusive dysfunction impair penile blood flow, compromising erectile rigidity and duration. While phosphodiesterase-5 inhibitors (PDE5i) like sildenafil dominate first-line therapy, refractory cases necessitate surgical intervention. Vascular surgery, particularly penile arterial revascularization and venous ligation, offers a curative potential for younger men with focal arterial occlusions. This longitudinal study evaluates surgical outcomes and sexual function recovery in 450 American males over 10 … Continue reading
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