Treatment of vasculogenic erectile dysfunction by direct anastomosis of the inferior epigastric artery to the central artery to the corpus cavernosum.

We present a case of vasculogenic erectile dysfunction following trauma, which was treated successfully by direct anastomosis of the inferior epigastric artery to the central artery of the corpus cavernosum. This is the first report of this operative technique. Its theoretical advantages over previously described revascularization techniques include an end-to-side vascular anastomosis, possibly decreasing perianastomotic fibrosis, and regulation of new blood flow into the corporeal bodies by the neurovascular mechanism of the central artery.