What Is a Venous Leak?

Penile venous leakage is a condition in which the cavernous body in the penis has a damaged laceration, which causes the penis to leak blood to the glans or other blood vessels when it is congested.

Penile vein leak

Penile vein leakage is a cause

when

Venous leaks often occur due to

One,

Penile vein leak surgery purpose

The venous blood in the penile cavernous body is prevented by ligation of the veins to achieve an effective erection of the penis.

Indications for penile venous leak surgery

Congenital penile veins are too thick or excessive, and there is an abnormal communication branch between the corpora cavernosa and the corpus cavernosum. It is common in those with congenital malformations or bypass surgery due to persistent penile erection. Patients were referred to ultrasound Doppler for good arterial response when selected; cavernous body injection therapy and vacuum negative pressure device were not effective; smokers quit; no severe systemic diseases such as diabetes and arteriosclerosis; younger than 60 years old. Repeated mandibular cavernous manometry or penile cavernous pre-operative imaging before surgery is very helpful for clarifying the path of venous leakage and determining the surgical method.

Penile vein leak surgery

First, dorsal penile deep vein ligation

Second, corpus cavernosum foot vein ligation

Third, corpus cavernosal vein ligation

Fourth, urethral cavernous exfoliation

Five, double iliac vein ligation.

Penile vein leak surgery method

Deep penile dorsal vein ligation is a procedure for treating venous leaky impotence by ligating the deep dorsal vein of the penis. Can be performed under local or spinal anesthesia. Make a 3cm incision from the root of the penis down from the root. The deep dorsal vein of the penis is located in the groove formed by the cavernous body on the upper and lower sides of the penile fascia, and the dorsal penile artery can be seen on both sides. After finding the deep dorsal vein of the penis, this vein can be freed from the root of the penis to the distal end by 5 cm, and its branches are ligated. Immediately after venous ligation and cutting, papaverine and phentolamine can be injected to induce artificial erection. First put a tourniquet at the root of the penis, and then inject 60 mg papaverine and 2 mg phentolamine from the cavernous body of one penis. The tourniquet was released after 2 minutes, and some patients had an erection after about 10 minutes. At this time, 100 ml of normal saline can be injected into the cavernous body at a rate of 60 ml / min, and the penis can have a good erection, which proves that the ligation operation is successful.