par Struyven, Julien ;Jeanty, Philippe ;Jeanmart, Jacques
Référence Journal belge de radiologie, 62, 6, page (597-601)
Publication Publié, 1979
Article révisé par les pairs
Résumé : Selective pudendal arteriography is indicated in specific cases of male impotence when arterial lesions are presumed to be responsible. The examination is performed under general anaesthesia by catheterisation of both hypogastric arteries using the right femoral approach. One film/sec is taken in oblique projection for 20 sec starting at the end of an injection of 30 ml of contrast media which was injected at the rate of 3 ml/sec. This paper reports the results of a series of 18 patients (age 23-57). The arterial pattern was normal in 6 patients and arterio-sclerotic lesions were found in 9 cases. In the 3 remaining cases 1 was aplasia of both cavernous arteries, 1 a case of thromboangiitis and 1 a case of diabetic arteritis. No complication occurred after the examinations. Selective arteriography can establish the diagnosis and indicate the nature of the obstruction, its degree and extention.