부산대학교 도서관

The study objective is to demonstrate the effectiveness of combined phlebectomy of varicose veins of the penis and spermatic veins in the treatment of venous erectile dysfunction of the distal type in combination with varicocele as an androgenital manifestation of small pelvic varicose disease; to demonstrate the potency of combined phlebectomy of varicose veins of the penis and spermatic veins in the treatment of venous penis of the distal type in combination with varicocele, as an androgenital manifestation of small pelvic varicose disease in men.Materials and methods. Combined phlebectomies (n = 5) were performed in patients with androgenital form of varicose small pelvic, clinically manifested by erectile dysfunction, varicose veins, varicocele.Results. Preoperative complex examination of patients included multispiral computer, magnetic resonance angio andpharmacocavernosog-raphy with ultrasonic duplex scanning of the penis, scrotum, prostatic venous plexus allowed verifying varicose disease of the small pelvic, clinically manifested by erectile, dysmorphophobic disorders in combination with varicocele. Combined phlebectomy superficial veins of the penis in combination with the operation of Marmara (phlebectomy veins of spermatic cord) with blockage of outflow into the sapheno-femo-ral anastomosis gave a positive result in all cases. The international index of erectile function increasedfrom 12 ± 2 points before the operation to 21 ± 1 pointspostoperativly (p