Coil Embolization Is Not Justified for Treating Patients with Veno-Occlusive Dysfunction: Case Series and Narrative Literature Review

Coil Embolization Is Not Justified for Treating Patients with Veno-Occlusive Dysfunction: Case Series and Narrative Literature Review

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Introduction: Herein, we explore whether coil embolization (CE) is effective in treating veno-occlusive dysfunction (VOD).We present five cases with seven CE episodes and a narrative literature review.Methods: From 2013 to 2018, refractory impotence prompted five men to seek penile vascular stripping (PVS), although seven CE episodes were included.All received dual cavernosography in which erection-related veins and grandpas best VOD were documented.PVS entailed the venous stripping of one deep dorsal vein and two cavernosal veins.

The abridged five-item version of the International Index of Erectile Function (IIEF-5) score system and the erection hardness scale (EHS) were used, and yearly postoperative follow-ups were conducted via the Internet.Using Pub Med, a narrative literature review was performed on CE treatment for VOD or varicocele.Results: Inserted coils were scattered along the erection-related veins, including the deep dorsal veins (n = 4), periprostatic plexus (n = 5), iliac vein (n = 5), right pulmonary artery (n = 2), left pulmonary artery (n = 2), and right ventricle (n = 1).PVS resulted in operation igloo white some improvements in the IIEF-5 score and EHS scale.Six articles highly recommend CE treatment for VOD.

All claimed it is a minimally invasive effective treatment for varicocele.Conclusions: CE is not justified as a VOD treatment, regardless of its viability in the treatment of varicocele.