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Urinary retention with glans hypervascularization after penile arterialization

T P Bukowski1, C B Dhabuwala

  • 1Department of Urology, Wayne State University, Detroit, Michigan.

The Journal of Urology
|July 1, 1994
PubMed
Summary
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Penile revascularization for impotence can lead to glanular hypervascularization. This case report details successful surgical treatment for delayed glanular hypervascularization causing urinary retention.

Area of Science:

  • Urology
  • Vascular Surgery
  • Reproductive Medicine

Background:

  • Penile revascularization is an emerging surgical treatment for erectile dysfunction.
  • Glanular hypervascularization is a recognized, albeit uncommon, complication following venous arterialization procedures.
  • This condition can necessitate surgical intervention for resolution.

Observation:

  • A case of delayed glanular hypervascularization presenting with significant urinary retention is described.
  • The patient experienced symptoms secondary to the vascular complication.
  • The urinary retention was directly attributed to the hypervascularization.

Findings:

  • Surgical ligation of the distal deep dorsal vein through the retro-coronal plexus was performed.
  • This specific surgical approach effectively resolved the glanular hypervascularization.

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  • The patient's urinary retention symptoms were cured post-operatively.

    • Implications:

    • This case highlights a rare but serious complication of penile revascularization.
    • It underscores the importance of recognizing and managing delayed glanular hypervascularization.
    • Surgical ligation of the dorsal vein offers a viable treatment option for this specific complication.