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Penile venous anatomy: an additional description and its clinical implication
Geng-Long Hsu1, Cheng-Hsing Hsieh, Hsien-Sheng Wen
1Microsurgical Potency Reconstructive Center, Taipei Medical University Hospital, Taiwan Adventist Hospital and Po-Jen General Hospital, Taipei, Taiwan, Republic of China.
Journal of Andrology
|October 29, 2003
Summary
New penile venous channels were discovered, potentially impacting erectile dysfunction treatments. These findings refine anatomical knowledge and may explain recurrent issues after venous stripping surgery.
Area of Science:
- Anatomy
- Urology
- Vascular Surgery
Background:
- The penile venous system's anatomy is established but requires refinement.
- Recurrent erectile dysfunction after venous stripping surgery suggests incomplete understanding.
- Imaging revealed previously undescribed venous channels.
Purpose of the Study:
- To refine anatomical knowledge of the human penile venous system.
- To investigate the presence and course of previously unidentified penile veins.
- To assess the implications of these findings for erectile dysfunction treatment.
Main Methods:
- Cavernosography in 37 patients with recurrent erectile dysfunction post-surgery.
- Intraoperative cavernosography in 9 patients.
- Microscopic dissection of the penis in 21 male cadavers.
Main Results:
- An independent, smaller vein consistently found near the deep dorsal vein in cavernosography.
- A previously undescribed cavernosal vein identified along the corpus cavernosum, draining into Santorini's plexus.
- Two novel sets of para-arterial veins discovered accompanying the dorsal artery in all cadavers.
Conclusions:
- The penile venous system is more extensive than previously described.
- The identified extra venous channels may be implicated in recurrent erectile dysfunction.
- Findings necessitate a re-evaluation of venous stripping surgery techniques for erectile dysfunction.