L'arteriografia selettiva ipogastrica nella diagnosi di impotenza vascolare

Clinical employment of selective hypogastric arteriography has been instrumental in the detection of stenosing and obliterating lesions of the pudenal arteries and their penile branches capable of giving rise to impotentia erigendi as the sole symptom. Differentiation of psychogenic and vascular impotence is now possible through non-invasive instrumental examinations such as the nocturnal penile tumescence test, and Doppler ultrasonography of the penile arteries. Arteriography to confirm the diagnosis was only employed when a suspicion was aroused by these two examinations. An account is given of the technique employed for selective hypogastric arteriography and the angiogaphic results obtained.