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What Causes Erectile Dysfunction Post Varicose Veins Surgery?

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Posted on Mon, 23 May 2016
Question: i had venous ablation done a week ago vain went from near right of gorin to ankle. now i lost my erection it is now 20% . wife noticed a large red plump vein in front of penis before procedure now she says it turned black and started to disappear. do i have any hope for repair.
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Answered by Dr. Dr. P. T. Patil (53 minutes later)
Brief Answer:
Could be due to accidental injury to External Pudendal artery during surge.

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that you have undergone surgery of ablation of Varicose veins and since then facing problem of erectile dysfunction .

At the outset I would try to explain the normal mechanism of blood flow to erectile tissue .

Erectile body is supplied by two arteries
1) External Pudendal Artery
2) Internal Pudendal Artery

It does happen in few individuals that the main blood flow to the erectile tissue is derived by External Pudendal Artery .

The external pudendal artery lies in close vicinity of Internal Sephanous Vein which is ligated and stripped of during the surgery of ablation and there is risk even in hands of experienced and XXXXXXX surgeon of External Pudendal artery getting injured or ligated accidentally while stripping of varicose veins.

The result of ligation of this artery causes reduced blood flow to penis giving rise to Erectile Dysfunction ...

Consult operating surgeon for evaluation .However there is no modality that can resolve this issue .

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you.
Thanks and Regards.
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10590 Questions

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What Causes Erectile Dysfunction Post Varicose Veins Surgery?

Brief Answer: Could be due to accidental injury to External Pudendal artery during surge. Detailed Answer: Hello Thanks for your query,based on the facts that you have posted it appears that you have undergone surgery of ablation of Varicose veins and since then facing problem of erectile dysfunction . At the outset I would try to explain the normal mechanism of blood flow to erectile tissue . Erectile body is supplied by two arteries 1) External Pudendal Artery 2) Internal Pudendal Artery It does happen in few individuals that the main blood flow to the erectile tissue is derived by External Pudendal Artery . The external pudendal artery lies in close vicinity of Internal Sephanous Vein which is ligated and stripped of during the surgery of ablation and there is risk even in hands of experienced and XXXXXXX surgeon of External Pudendal artery getting injured or ligated accidentally while stripping of varicose veins. The result of ligation of this artery causes reduced blood flow to penis giving rise to Erectile Dysfunction ... Consult operating surgeon for evaluation .However there is no modality that can resolve this issue . Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you. Thanks and Regards. Dr.Patil.