MODERN APPROACHES ТО SURGICAL TREATMENT OF ERECTILE DYSFUNCTION
Objective. Generalization of medical topical information about current approaches to the organic erectile dysfunction surgical correction. Analysis and presentation of information on indications and surgical methods for the erectile dysfunction treatment, their effectiveness and complications after operations for erection restoring. Materials and methods. The article presents a peer-reviewed medical publications review referring to the tactics of the organic erectile dysfunction surgical correction using the method of literature search and actual Internet resources including the Pub-Med through a 20-year period. Results. In case of the penile arterial insufficiency with the a. dorsalis penis preserved revascularization operations on the arterial erectile dysfunction using a. epigastrica inferior is still possible in 2% of cases. The problem of the veno-occlusive erectile dysfunction surgical correction with vein reefing has been under discussion due to the high percentage of recurrence of erectile dysfunction. The penile erectile deformation is used to be corrected by performing the reconstructive surgery (corporoplastic) using both - the local tissues or different types of grafts. In the case of inability to perform the penis revascularization, eliminate the veno-occlusive pathology and severe deformation of the corpora cavernosa with impaired blood circulation in the penis the modern approach to the surgical correction of erectile dysfunction and sexual rehabilitation of patients is used - a penile prosthesis is implanted. Conclusion. Effective methods of the organic erectile dysfunction surgical correction using modern plastics and penile prosthesis exist. A thorough patient preoperative examination for clarifying the pathogenesis causes having led to its development is necessary in order to select the right method of surgical treatment for achieving the maximal effect.