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Page 72
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
A
lthough penile implantation remains a final solution for
patients with refractory impotence in many urologists,
undesirable postoperative effects, including the development of
pale appearance, size reduction and cold sensation of the glans
penis in particularly the penile size itself, remain problematic.
We sought to report an innovative surgical method designed
to avoid these problems. From 2003 to 2017, 103 consecutive
patients received a malleable penile implant. Of these 68 men
(the enhancing group, after 2008) were also treated with venous
ligation of the retrocoronal venous plexus, deep dorsal vein, and
cavernosal veins in addition to standard penile implant. The
remaining 35 men formed the control group, treated with only
a penile implant. Follow-up ranged from 0.5 to 14.5 (8.7±1.0)
years. Although preoperative glanular dimension did not differ
significantly between the two groups, significant respective
difference at one day and one year postoperatively was found
in the glanular circumference (128.6±6.8 mm versus 115.5±7.1
mm and 131.6±7.2 mm versus 100.3±7.3 mm; both <0.05),
radius (38.9±2.7 mm versus 37.0±2.8 mm and 41.7±2.6 mm
versus 33.7±2.9 mm; latter <0.01), and satisfaction rate (95.8%
versus 53.2%, <0.01) as well. Inconclusive analysis of the penile
copulatory portion ensued resulting from difficulty in practical
measurement on this portion. Based on our results, selective
venous ligation of penile erection related veins appears to
enhance the glans penis dimension and probable the penile
copulatory portion in implant patients:
Recent Publications
1. Hsu G L, Chen H S, Hsieh C H, Lee W Y, Chen K L and
Chang C H (2010) Clinical experience of a refined penile
venous surgery procedure for patients with erectile
dysfunction: is it a viable option? Journal of Andrology
31(3):271-280.
2. Hsieh C H, Liu S P, Hsu G L, Chen H S, Molodysky E, Chen
Y H and Yu H J (2012) Advances in our understanding
of mammalian penile evolution, human penile anatomy
and human erection physiology: clinical implications
for physicians and surgeons. Medical Science Monitor
18(7):RA118-125.
A strategy for glans enhancement and negating glans
coldness in patient with penile prosthesis implantation
Chi Can Huynh
1
and
Geng Long Hsu
2, 3
1
The Male Clinic, Australia
2
Hsu’s Andrology, Taiwan
3
National Taiwan University, Taiwan
Chi Can Huynh et al., J Vasc Endovasc Therapy 2018, Volume 3
DOI: 10.21767/2573-4482-C1-002
Figure 1:
Pelvic x-ray film of 30∘oblique view of a 65-year-old male. (A) He
underwent a Duraphase penile implantation somewhere in 2005. A cold
glans syndrome and reduced plans volume prompted him to receive the ve-
nous ligation surgery. (B) A spongiosogram disclosed the deep dorsal vein
and the cavernosal vein via contrast injection to the glans penis. (C) The
glans radius was enhanced from 28 mm to 34 mm after the penile venous
surgery on the retrocoronal plexus. Meanwhile, a proximal ligation was per-
formed on the deep dorsal vein and cavernosal vein at the penile hilum. (D)
A postoperative spongiosogram disclosed the injected contrast was reten-
tion in the deep dorsal vein and the cavernosal vein. An enhancement was
demonstrated in both the glans penis and entire penile shaft after a contrast
mediumwas injected into the glans penis via a #23 scalp needle