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Page 105
May 24-25, 2018
London, UK
Vascular Surgery 2018
3
rd
Edition of World Congress & Exhibition on
Vascular Surgery
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
O
ur chronologically protracted studies substantiate a model
of the tunica albuginea of the corpora cavernosa in human
penis as a bi-layered structure with a 360° complete inner circular
layer and a 300° incomplete outer longitudinal coat (as opposed
to just a singly uniform-complete-circular layer) spanning from
the bulbospongiosus and ischiocavernosus proximally and
extending continuously into the distal ligament within the glans
penis. The anatomical location and histology of the human distal
ligament invites convincing parallels with the animal Os penis
within glans penis and therefore constitutes potential evidence
of the evolutionary process. In the corpora cavernosa, a chamber
design is responsible for facilitating rigid erections. It is an
exclusive milieu to apply Pascal’s law in the entire human body.
Furthermore, one deep dorsal vein, two cavernosal veins and
two pairs of para-arterial veins (as opposed to one single vein)
are discovered between Buck’s fascia and the tunica albuginea.
For investigating its venous factors exclusively, hemodynamic
studies have been performed on both fresh and defrosted human
male cadavers. In each case, a rigid erection was unequivocally
attainable following venous removal. This clearly has significant
ramifications in relation to penile venous-relevant surgeries and
its role in treating impotent patients. These newfound insights
into penile tunical, venous anatomy and erection physiology were
inspired by and in turn enhance clinical applications routinely
encounteredby researchers, suchas vascular physiology, vascular
pathophysiology and erection mechanism as a mechanical
event, and physicians in particularly surgeons, such as penile
morphological reconstruction via autologous venous patched
surgery, penile implantation with glans sinusoidal enhancement,
penile venous surgery and even penile enhancement surgery
in particular the glans penis and penile girth. All are mostly
attainable via an acupuncture assisted local anesthesia on an
ambulatory basis if the surgeons acknowledge this newfound
anatomical knowledge.
genglonghsu@gmail.comAdvances in human penile anatomy, erection physiology and its
clinical applications for researchers and physicians
Geng Long Hsu
1, 2
1
Hsu’s Andrology, Taiwan
2
National Taiwan University, Taiwan
J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2471-8084-C1-003