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Abstract It is now widely accepted that a significant proportion of patients with erectile impotence have a clearly demonstrable abnormality in the hemodynamics of erection. The hemodynamics of erection depends not only on the integrity of arterial blood supply, but also on the corporal sinusoids and venous drainage. Medical and surgical management of organic impotence continues to evolve, and the interest in diagnosis of vasculogenic impotence has increased significantly to clarify whether it is venogenic impotence, arteriogenic impotence or it is multifactorial probiem. The aim of this work is to evaluate the penile venous competence by pharmaco-cavernosometry and cavernosography; as well as to assess arterial inf!ow to the penis by duplex sonography and color Doppler which provided a ncn invasive means of assessing patients w’:h sc;spected arteriogenic impotence. Pharmacoarteriography and isotope study are used in scrr.e selected cases to confirm the presence of inadequate penile arterial supply. |