Anatomical Considerations for Endovascular Penile Interventions.
Sailendra G Naidu1, Indravadan Patel1, Sadeer Alzubaidi1
1Division of Interventional Radiology, Mayo Clinic Hospital, Phoenix, Arizona.
Seminars in Interventional Radiology
|May 16, 2025
Summary
Penile angiography is a rare but important procedure for diagnosing arterial issues. This review covers essential techniques and anatomy for interventional radiologists, ensuring they remain proficient in evaluating erectile dysfunction and other penile conditions.
Area of Science:
- Vascular radiology
- Interventional radiology
- Genitourinary imaging
Background:
- Medical advances have reduced the use of penile angiography for erectile dysfunction (ED).
- This has led to decreased familiarity with penile arterial anatomy and angiography techniques among interventional radiologists (IRs).
- A subset of IRs may still encounter indications for this procedure.
Purpose of the Study:
- To review the angiographic technique for penile angiography.
- To emphasize the relevant arterial anatomy of the penis for interventional radiologists.
- To address the need for continued familiarity with penile angiography despite its decreased frequency.
Main Methods:
- Review of penile angiography technique.
- Detailed description of penile arterial anatomy relevant to angiography.
- Discussion of indications for penile angiography.
Main Results:
- Penile angiography remains a valuable tool for specific clinical scenarios.
- Familiarity with the technique and anatomy is crucial for accurate diagnosis and treatment planning.
- Key arterial structures and potential pitfalls in catheterization are highlighted.
Conclusions:
- Despite decreased utilization, penile angiography is indicated for specific conditions like penile trauma and priapism.
- Practicing interventional radiologists must maintain proficiency in penile angiography techniques and anatomy.
- This review serves as a refresher for IRs on essential aspects of penile angiography.
