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BioMed Research International
Volume 2014, Article ID 923171, 7 pages
http://dx.doi.org/10.1155/2014/923171
Research Article

Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation

1Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology and National Taiwan University, 3F 88, Wen-Hu Street, Neihu District, Taipei City 11445, Taiwan
2Department of Urology, National Taiwan University Hospital, College of Medicine, Taipei City 10048, Taiwan
3Department of Radiology, University of Southern California, Los Angeles, CA 90033, USA
4Division of Urology, Buddhist Tzu-Chi General Hospital, Taipei Branch, School of Medicine, Buddhist Tzu-Chi University, Hualien City 970, Taiwan

Received 28 March 2014; Accepted 10 June 2014; Published 7 August 2014

Academic Editor: Ralf Herwig

Copyright © 2014 Geng-Long Hsu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 2003 to 2013, 35 consecutive patients received a malleable penile implant. Of these, 15 men (the enhancing group) were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal vein, and cavernosal veins. The remaining 20 men formed the control group, treated with only a penile implant. Follow-up ranged from 1.1 to 10.0 years, with an average of 6.7 ± 1.5 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 (128.8 ± 6.8 mm versus 115.3 ± 7.2 mm and 130.6 ± 7.2 mm versus 100.5 ± 7.3 mm; both ), radius (38.8 ± 2.7 mm versus 37.1 ± 2.8 mm and 41.5 ± 2.6 mm versus 33.8 ± 2.9 mm; latter ), and satisfaction rate (91.7% versus 53.3%, ) as well. Based on our results, selective venous ligation appears to enhance the glans penis dimension in implant patients.