Internal Medicine

P1: OXT/OZN/JDO P2: PSB

0521779407-E-01 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:10

Erectile Dysfunction Erysipelas and Cellulitis 543

➣Arterial bypass surgery for patients with abnormal arterial flow to

the penis: usually anastomose inferior epigastric artery to dorsal

penile artery or vein

Only used in congenital or traumatically induced arterial insuf-

ficiency

Major complication: glans hyperemia (in arteriovenous

bypass)

➣Venous outflow surgery for patients with congenital or traumatic

venous leak: ligate abnormally draining veins

Major complication: recurrence of venous leak

■Prosthesis surgery

➣Patients with generalized disease or older patients

➣Highly effective and reliable

➣Risks associated with infection and device malfunction

➣Multiple varieties including semi-rigid, malleable, and two- or

three-piece inflatable

follow-up

■Each 6 months to 1 year routinely to evaluate erectile function and

response to treatment

complications and prognosis

n/a

Erysipelas and Cellulitis...............................

JEFFREY P. CALLEN, MD

history & physical

History

■Acute, rapidly spreading non-suppurative infection of the skin and

underlying soft tissue

➣Usually streptococcal

➣Occasionally staphylococcal

■Erysipelas is more superficial than cellulitis.

■Preceding trauma is frequent.

■Fever and chills are common.

Signs & Symptoms

■Erysipelas

➣Usually facial