Journal of Vascular and Endovascular Therapy

A physiological approach of penile venous stripping for patients with erectile dysfunction on ambulatory basis

3^rd Edition of World Congress & Exhibition on Vascular Surgery
May 24-25, 2018 London, UK

Geng Long Hsu

Hsu′s Andrology, Taiwan National Taiwan University, Taiwan

ScientificTracks Abstracts: J Vasc Endovasc Therapy

DOI: 10.21767/2573-4482-C1-002

Abstract

Disclosed is the latest method of a physiologically penile venous stripping for patients with erectile dysfunction (ED) secondary to veno-occlusive dysfunction (VOD), which mainly bases on a template of Hsu’s penile anatomy. It is further endorsed by Hsu’s erection physiology. Neither a Bovie nor a suction apparatus is required in the entire procedure. The method entails usage of a set of specific instrument used under an acupuncture-aided pure local anesthesia on an ambulatory basis. It includes a thorough penile venous stripping and then ligating one deep dorsal vein (DDV) and a paired of cavernosal veins (CVs) whereas two pairs of para-arterial veins (PAVs) are rendered for segmental ligation closest to the tunica albuginea. The Buck’s fascia is just made 5-6 opening on each emissary veins which drain the sinusoidal blood away from the corpora cavernosa. Thus the DDV trunk serves as a guide to strip the venous system along the penile shaft while the emissary vein is fixed by 6-0 nylon. A pull-through maneuver is made from opening to opening until the penile base. Likewise, the CVs are managed. A 3.5 cm long longitudinal wound is performed on the pubic region to relay the venous stripping procedure. As a rule, there are 6-9 and 5-8 branches require treated corresponding to DDV and CVs respectively from penile base to the penile hilum. A total of 67-132 ligation positions are required to complete the treatment of the offensive erection related veins. Both wounds are fashioned with layer by layer while an assistant stretch the penile shaft mimicking an erectile status. Although the techniques for handling venous tissues with stripping and then ligation is extraordinary challenging, this innovative method turns the venous treatment for ED resulting from VOD from one that has been abandoned to a curable option
Recent Publications 1. Hsu G L, Zaid U X, Hsieh C H and Huang S J (2013) Acupuncture assisted regional anesthesia for penile surgeries. Translation Andrology and Urology 2:291-300. 2. Hsu G L, Huang Y P, Tsai M H, Chang H C, Liu S P, Molodysky E and Hsu M C Y (2013) The venous drainage of the corpora cavernosa in the human penis. Arab Journal Urology 11: 384-391. 3. Hsu G L, Molodysky E, Liu S P, Chang H C, Hsieh C H and Hsu C Y (2013) Reconstructive surgery for idealizing penile shape and erectile functional restoration on patients with penile dysmorphology and erectile dysfunction. Arab Journal Urology 11:375–383. 4. Hsu G L, Hill J W, Chen H S and Huang S J (2014) Novel pilot films providing dispensable information in pharmaco-cavernosography. Translation Andrology and Urology 4:398-405. 5. Hsieh C H, Huang Y P, Tsai M H, Chen H S, Huang P C, Lin C W and Hsu G L (2015) Tunical outer layer plays an essential role in penile veno-occlusive mechanism evidenced from electrocautery effects to the corpora cavernosa in defrosted human cadavers. Urology 86:1129-113.
 

Biography

Geng Long Hsu is a Clinical Professor at China Medical University. He has developed and refined a series of penile reconstructive surgeries, including penile venous surgery, corporoplasty and penile implantation, in tandem with advances in knowledge of the penile venous and tunical anatomy and of erection physiology. In 1993, he was promoted to the first Chair of Urology at Taiwan Adventist Hospital; he held that position until 1997 and then served as Vice-Superintendent of Po-Jen General Hospital until 2001. From 2001 to 2003, he was the Director of Microsurgery Potency Reconstruction at Taipei Medical University Hospital. Afterward, he has established his private practice—Hsu’s Andrology which serves as both a clinical practice and research center. In 2012, his latest method of penile venous stripping surgery, administered via local anesthesia on an ambulatory basis, was granted a USPTO patent. He hopes this surgery will be studied and practiced worldwide. Email:genglonghsu@gmail.com