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Erectile dysfunction (ED) is defined as the recurrent inability to achieve and maintain an erection satisfactory for sexual intercourse. Worldwide, ED affects approximately 300 million men, and nearly 30% of men between age 40 and 70 years.1 Current pharmacological options for treatment of ED are limited, with up to 50% of patients experiencing suboptimal response to oral phosphodiesterase inhibitor (PDE5i).2 Atherosclerotic occlusive disease of the ilio-pudendal-penile arteries resulting in arterial insufficiency to the penis has been reported to affect up to 75% of patients with ED.3 In a recent study of 30 diabetic patients with ED and coronary artery disease, significant internal iliac artery (IIA) and internal pudendal artery (IPA) disease was found 20% and 36.7% of patients, respectively.4 Atherosclerotic occlusive disease may result in arterial insufficiency to the penis, limiting the inflow of blood required to fill the corpora cavernosa to achieve penile erection. This report describes the case of a patient with ED caused by atherosclerotic disease of the left IIA that was successfully treated by endovascular revascularisation.

Endovascular treatment of erectile dysfunction due to internal iliac artery atherosclerotic disease