CC BY-NC-ND 4.0 · Revista Urología Colombiana / Colombian Urology Journal 2020; 29(01): 048-057
DOI: 10.1055/s-0039-1698815
Review Article | Artículo de Revisión
Andrology/Andrología
Sociedad Colombiana de Urología. Publicado por Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Ligadura de fuga venosa dorsal profunda en pene: Revisión de la literatura y técnica quirúrgica paso a paso

Penile Deep Dorsal Venous Leakage: Review of Literature and Surgical Technique Step by Step
1   Departamento de Urología, Hospital Pablo Tobón Uribe, Medellín, Colombia
› Author Affiliations
Further Information

Publication History

23 June 2019

18 September 2019

Publication Date:
09 December 2019 (online)

Resumen

La disfunción venoclusiva peneana (VOD), está siendo reconocida como una causa importante de disfunción eréctil en especial en pacientes jóvenes. Recientemente se han sugerido fisiopatologías novedosas y se han mejorado notablemente los métodos diagnósticos, lo que genera un campo en redescubrimiento con nuevos enfoques de tratamiento disponibles. La ligadura de fuga venosa dorsal ha tenido dificultades a través de la historia para ser estandarizada. El artículo enfatiza que el diagnóstico adecuado es la base del éxito en esa patología, para cuya resolución presentamos una técnica quirúrgica asequible, aún en sitios con limitaciones tecnológicas, reproducible y con buenos resultados a corto y mediano plazo. Cuando se sospecha de una fuga venosa dorsal profunda que cause alteraciones hemodinámicas con un cierto tipo de disfunción eréctil, con penes que en erección alternan en estados de duro-blando, se configura un síndrome especial, con hallazgos clínicos y ecográficos típicos. Aunque existen algunas opciones médicas de tratamiento, se propone la corrección quirúrgica de la fuga venosa como el método ideal de tratamiento definitivo.

Abstract

Venoclusive dysfunction (VOD) is being recognized as an important cause of erectile dysfunction, especially in young patients. Novel pathophysiology has been suggested and diagnostic methods have been significantly improved, generating a field in rediscovery with new treatment approaches available. Ligation of dorsal venous leak has had difficulties throughout history to be standardized. The article emphasizes that the proper diagnosis is the basis of success in this pathology, for whose resolution we present an affordable surgical technique, even in places with technological limitations, reproducible and with good results in the short and medium term. When a deep dorsal venous leak is suspected that causes hemodynamic alterations and a certain type of erectile dysfunction, with hard-flaccid penis, a special syndrome is configured, with typical clinical and ultrasound findings. Although there are some medical treatment options, it proposes the surgical correction of venous leakage as the ideal method of definitive treatment.

 
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