Spongiosolysis: A New Surgical Treatment of Impotence Caused by Distal Venous Leakage
- 1 October 1987
- journal article
- research article
- Published by Wolters Kluwer Health in Journal of Urology
- Vol. 138 (4 Part 1), 784-786
- https://doi.org/10.1016/s0022-5347(17)43373-8
Abstract
Until recently ligation of the dorsal veins of the penis had been the only effective surgical treatment in cases of erectile dysfunction caused by venous insufficiency of the corpora cavernosa. Failure of this operation can be owing to persistent distal venous leakage consisting of venous shunts between the distal corpora cavernosa and corpus spongiosum, which can be demonstrated by cavernosography. These shunts can be closed successfully by spongiosolysis, that is by dissecting the distal half of the corpus spongiosum and by isolating the tips of the corpora cavernosa. Of 5 patients who underwent spongiosolysis after previous ligation of the dorsal vein of the penis 4 regained erectile ability with the help of intracavernous injection of a vasoactive drug mixture (15 mg. per ml. papaverine hydrochloride plus 0.5 mg. per ml. phentolamine mesylate, 0.5 to 2 ml. per injection), which was necessary because of concomitant arterial lesions demonstrated by arteriography. The only failure proved to be persistent venous insufficiency of the deep dorsal vein of the penis. Since none of the patients had any serious complication spongiosolysis seems to be a safe procedure in the treatment of distal venous leakage.This publication has 4 references indexed in Scilit:
- Venous Leakage: Surgical Treatment of a Curable Cause of ImpotenceJournal of Urology, 1985
- The Hemodynamics of Erection at the Level of the Penis and Its Local DeteriorationJournal of Urology, 1983
- Insufficient penile erection due to abnormal drainage of cavernous bodiesUrology, 1979
- THE SURGICAL RELIEF OF IMPOTENCEJAMA, 1936