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Penile revascularization is a specialized vascular-surgical treatment option for erectile dysfunction. The 2009 International Consultation on Sexual Dysfunctions recommended that revascularization be limited to nonsmoker, nondiabetic men younger than 55 years of age with isolated stenosis of the internal pudendal artery with absence of venous leak. [1]
Venous leak is an inability to maintain an erection in the presence of sufficient arterial blood flow through the cavernosal arteries of the penis. [6] The defect lies in the excessive drainage of veins in the cavernosal tissue of the penis, which undermines normal erectile function.
It passes between the crus penis [2] and the pubic symphysis [citation needed] of the pelvis to reach the dorsal surface of the corpus cavernosus penis. [2]As it pierces the perineal membrane, it (depending upon the source) passes between the two layers of the suspensory ligament of the penis, [citation needed] or pierces the lateral lamina of the suspensory ligament of penis.
Arterial occlusion is a condition involving partial or complete blockage of blood flow through an artery. Arteries are blood vessels that carry oxygenated blood to body tissues. [ 1 ] [ 2 ] An occlusion of arteries disrupts oxygen and blood supply to tissues, leading to ischemia . [ 1 ]
This causes the blood to leave the penis and return to the circulation. This procedure can be performed by a urologist at the bedside. Winter's shunts are often the first invasive technique used, especially in hematologically induced priapism, as it is relatively simple and repeatable.
Penile plethysmography (PPG) or phallometry is a measurement of blood flow to the penis, typically used as a proxy for measurement of sexual arousal.The most commonly reported methods of conducting penile plethysmography involves the measurement of the circumference of the penis with a mercury-in-rubber or electromechanical strain gauge, or the volume of the penis with an airtight cylinder and ...
On entering the cavernous structure from the deep artery of the penis the arteries divide into branches, which are supported and enclosed by the trabeculae.Some of these arteries end in a capillary net-work, the branches of which open directly into the cavernous spaces; others assume a tendril-like appearance, and form convoluted and somewhat dilated vessels, which were named by Rosenmüller ...
When a large amount of blood flows to the genital region, the penis becomes erect and the testicles also experience increased blood flow and swelling. [4] In the vulva, the blood flow increases in erectile tissue, causing it to expand. After orgasm, the tissue shrinks back to its initial size as most of the blood leaves.