Crural Ligation for Primary Erectile Dysfunction: A Case Series

Abstract

Penile venous surgery may not have a lasting result in men in whom venous leakage is due to systemic diseases or penile smooth muscle atrophy. However, in patients with a congenital venous leak abnormality of the crura ligation of the proximal crura with umbilical tapes seems to have a satisfactory, durable result.

Trans-Scrotal Penile Degloving, a New Procedure for Corporoplasties

“…2) La via sub-coronale è diventata il gold standard per le corporoplastiche sec Nesbit e per la chirurgia della MP, perchè permette un degloving penieno ampio con esposizione dei corpi cavernosi fino al tratto pre-crurale (3-6). 3) La via inguino-scrotale laterale è utilizzata per le procedure di chiusura delle vene crurali in caso di fuga venosa congenita o acquisita (7,8). 4) La via trans-scrotale è diventata il gold standard per la implantologia protesica (9, 10).…”

A young man with position-dependent erectile dysfunction: diagnostic work-up and interventional therapy of an arteriovenous malformation

“…The various types of venous resection show discouraging long-term results and have therefore been abandoned in general 14. Only very occasionally, more durable improvements have been reported in highly selected patients 16. Because surgical treatment outcomes are limited, minimal invasive approaches like percutaneous embolization seem justified.…”

Surgical niche for the treatment of erectile dysfunction

“…Rahman et al. favored a 3‐inch inguinoscrotal incision approach . While a parapenile inguinal incision is made, the penile shaft is delivered in a gooseneck fashion into the operative area.…”

“…Regarding access to the venous system of the penis, the trans-scrotal approach was reported with favorable outcome by Mulhall et al 120 Rahman et al favored a 3-inch inguinoscrotal incision approach. 121 While a parapenile inguinal incision is made, the penile shaft is delivered in a gooseneck fashion into the operative area. Incising Buck's fascia overlying the dorsal aspect of the penis, DDV is ready for identification and isolation.…”