ABSTRACT
Men often complain that the various modalities of treatment for erectile dysfunction (ED), while potentially effective, are not ‘natural’ in that they require assistance from a pill, injection, or device and do not allow for the same level of spontaneity previously enjoyed. Rather than symptom management, men desire a cure. With the exception of reversible endocrinopathies, no other available treatments address this fundamental desire. Since ED often has a vascular component, it stands to reason that practitioners have tried to develop surgical methods to re-establish penile vascular integrity. After a review of penile venous anatomy (Figure 77.1), we discuss venogenic causes of ED, evaluation, and surgical approaches.
