Penile venous surgery with crural ligation

At the beginning of the 20th century, it was attempted to surgically treat ED due to venous insufficiency.Vein ligation and stripping is a surgical approach to the treatment of varicose veins.Crural plication techniques for so-called proximal penile venous leakage were developed by Lowsley.

Three or 4 small cavernosal veins course laterally between the.This surgery is most often done in younger men who have injuries that affect blood flow to the.Primary penile venous leakage surgery with crural ligation in men with erectile dysfunction Cayan, Cayan Crural ligation for primary erectile dysfunction: a case series.

Penis Anatomy: Gross Anatomy, Vasculature, Lymphatics and

To delineate neural, arterial, and venous components contributing to impotence, we used a previously described noninvasive screening sequence combined with stimulation of artificial erection with papaverine injection, selective pudendal arteriography (SPA), and dynamic cavernosography (DC).

In an era when venous ligation surgery In an era when venous ligation surgery is being performed with less frequency, the role of cavernosography has been questioned.Venous Leak, also called Venogenic Erectile Dysfunction and Penile Venous Insufficiency, is a cause of Erectile Dysfunction in males, often inflicting young men, unlike other organic causes of Erectile Dysfunction.

Urology Coding | Ligation Penile Veins


One patient had crural vein ligation and corporoplasty through a perineal incision, one had direct corporeal revascularization for associated arteriogenic impotence with venous leak and another had distal spongiolysis and closure of a corporospongiosal shunt.

Venous ligation | definition of venous ligation by Medical

The three cylinders consist of paired corpora cavernosa and a single corpus spongiosum.

Erectile Dysfunction Treatment | Conditions & Treatments

INTRODUCTION: Venous ligation surgery results for diffuse venous leak have been disappointing, although in isolated crural venous leak (ICVL) cases, efficacy for crural ligation surgery (CLS) has been demonstrated.Numerous series in the literature over the past 2 decades detail refinements in penile arterial and venous surgical techniques, along with patient selection, diagnostic testing.A range of ligation procedures varied in their aggressiveness have emerged and range from dorsal and accessory vein.He underwent infrapubic bilateral crural ligation of the penis, which cured his ED.

Cavernovenous leakage represents an impor- tant cause of erectile dysfunction.The venous outflow anatomy of the penis demonstrates three main systems: 1) the superficial and deep dorsal veins, 2) the cavernous veins in the penile hilum, and 3) the crural tip veins.The salvaging venous surgery, in which a refined penile venous stripping procedure was applied and which was developed via a chronic study on cadavers and microsurgical drills on small rats, was satisfactory in all patients for correcting penile deformity and in some for restoring erectile function.

Venous Disease Vein Ligation & Stripping | Cleveland Clinic


Penile venous surgery is recommended only for young men who have ED as result of congenital or traumatic venous leakage of the penis.

The crural (roots) of the corpora cavernosa attach at the under surface of the ischiopubic rami as two separate structures.Congenital penile venous leakage may be due to large, ectopic, superficial and deep dorsal veins or to large crural veins.3, 4 Previous surgical methods for venous leakage included the ligation of superficial and deep dorsal veins. 17 Hsu et al described a modified venous stripping procedure, which is microscopically manipulated with ligation.

The problem is that it is often hard to find the source of the leak.The success rate of the surgery is 70 to 80% if the source of the leak is found.In the long term, a collateral circulation will probably ensue, as the entire CC can be.Additional crural ligation via a perineal approach was performed.With the new possibilities for investigation of vasculogenic ED after the introduction of drug-induced erection, these venous ligation and resection.

It is treated by ligature- resection of the different venous pathways, but this surgi- cal approach is certainly not the best.Ligation refers to the surgical tying off of a large vein in the leg called the greater saphenous vein, while stripping refers to the removal of this vein through incisions in the groin area.