Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation
Figure 4
Pelvic X-ray film of 30° oblique view of a 77-year-old male of traumatic impotence. He underwent cryosurgery for prostate adenocarcinoma in 2010. (a) Cavernosogram was made after 20 mL of contract medium was injected. (b) Cavernosogram was undertaken after another 30 mL of contract medium was injected. (c) The penile tissue could not extend 30 min after 20 μg prostaglandin E1 (PGE1) was intracavernously injected. The venous leakage was shown because the drainage veins are conspicuous despite an intracavernosal pressure which exceeded 110 mmHg. (d) The situation was reassured. (e) The venous surgery was performed for penile enhancement in addition to regular penile implant. The penile length was increased although the glandular radius changed from 30 mm to 33 mm. This situation is confirmed (f).