The downside of up...
I saw an interesting operative case as a very young student where a man actually presented to the doc with a "permanent half-happy" to quote the doc. The gentleman had (by aortogram w/runoff) occluded a relatively quickly-developed stenosis nearby and blood flow that should have gone to rt or lt leg was being redirected um, centrally. He complained of embarrassing episodes of "lack of containment" in his work uniform and general discomfort. Interestingly, he complained of no claudication or rest pain. I did not get to see the entire surgery but the vasc surgeon told us the plan was to do a bypass graft that would immediately revascularize the appropriate limb and return the other appendage to its more natural baseline state while maintaining the patient's potency. He also told us that although this condition might seem like a boon at first, it could be very damaging to all limbs involved if left unchecked.
nb,rvt
>>> "Smith, Matthew G." <[log in to unmask]> 7/14/2010 10:47 AM >>>
I've only done one penile duplex study, for our urologist, in the past five years. I think he just wanted to positively determine if his patient had some mental issues causing his ED. Very rare test here, put 'em on Viagra and see if it works. I'd take that anyday over having an injection "down there".
Matt
-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Schneider, Joseph R.
Sent: Wednesday, July 14, 2010 09:19
To: [log in to unmask]
Subject: Re: Penile Exams
the reason no one knows much about this these days is that I don't think anyone believes the information has any benefit and nearly everyone stopped doing thee 20 years ago- patients when have isolated internal iliac disease don't get their potency back with revascularizataion with the possible exception of younger men whose iliac artery problem is traumatic (not atherosclerotic)- is there anyone on this list that has an experience that suggests you can really use this information?
Joe
________________________________________
From: UVM Flownet [[log in to unmask]] On Behalf Of Robin Garza [[log in to unmask]]
Sent: Tuesday, July 13, 2010 6:46 PM
To: [log in to unmask]
Subject: Re: Penile Exams
There is good information in Zwiebel and also in Rob Daigle's book.
Robin Garza
On Tue, 2010-07-13 at 18:33 -0400, Jennifer Carpenter wrote:
> Does anybody know of any training courses or literature for vascular
> impotence studies? Thanks!
>
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