Revascularization (Arterial Surgery)
Until 1990 it was used, but with relatively few satisfactory results. It is currently being re-evaluated with new surgical techniques especially as presented in the AUA Congress - American Urological Association in Atlanta - USA (2000) and the 9th Congress of ISSIR (International Society for Impotence Research) in Australia.
As also shown in the II Consensus of Erectile Dysfunction due to a lack of consistency of the results, arterial surgery should remain investigational level, it is indicated mainly in cases of sacroiliac disease and obstruction segmental pudendal or penile artery after trauma.
The shaft sacroiliac-pudendal, endovascular techniques may improve blood flow to the cavernous arteries, emerging as a promising alternative to be introduced in the future.