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      Sloughing of the scrotal skin and impotence subsequent to bilateral hypogastric artery embolization for endovascular aortoiliac aneurysm repair.

      1 , ,

      Journal of vascular surgery

      Elsevier BV

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          Abstract

          Sloughing of the scrotal skin is an extremely rare event due to pelvic ischemia. We report herein one case of scrotal skin sloughing and impotence after bilateral hypogastric artery embolization for endoluminal aortoiliac aneurysm repair. Postoperative penile plethysmography demonstrated a 75% reduction in the penile brachial index, suggesting that pelvic ischemia is the main culprit for this complication. The devastating morbidity in our patient underscores the importance of maintaining pelvic collateral circulation when planning for endovascular aortoiliac aneurysm repair.

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          Author and article information

          Journal
          J. Vasc. Surg.
          Journal of vascular surgery
          Elsevier BV
          0741-5214
          0741-5214
          Oct 2001
          : 34
          : 4
          Affiliations
          [1 ] Division of Vascular Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA. Peter_Lin@emory.org
          Article
          S0741-5214(01)40492-7
          10.1067/mva.2001.116974
          11668334

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