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It describes current information related to normal mechanisms of penile erection and pathophysiology of organic impotence, methods of preoperative diagnosis, quantitative evaluation of penile blood flow and operative techniques to be employed in aneurysmal or occlusive aorto-iliac disease. The importance of preserving internal iliac flow and neural fibres enervating the genitalia is stressed. Large vessel reconstructions have proved practical in maintaining or restoring normal erectile function, but at present reconstructions of isolated pudendal or penile artery occlusions are experimental. Medical therapy can be effective in certain marginal cases of small vessel occlusion.<\/jats:p>","DOI":"10.1002\/bjs.1800691307","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T23:08:08Z","timestamp":1172876888000},"page":"S14-S16","source":"Crossref","is-referenced-by-count":25,"title":["Impotence in vascular disease: relationship to vascular surgery"],"prefix":"10.1093","volume":"69","author":[{"given":"R G","family":"Depalma","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Nevada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1982,12,1]]},"reference":[{"key":"2024100317185640600_bib1","first-page":"1404","article-title":"Des obliterations arterielle hautes (obliteration de la terminasion de l'aorte) comme causes des insuffisances circulatoires des membres inferieurs","volume":"49","author":"Leriche","year":"1923","journal-title":"Bull. Mem. Soc. 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