title: Cavernosography following clinical failure of penile vein ligation for erectile dysfunction.
abstract: In an attempt to determine what occurs to the venous circulation of the penis after ligation of the deep dorsal vein, 9 men with veno-occlusive dysfunction who underwent deep dorsal penile vein ligation and failed to achieve normal erectile function postoperatively consented to a postoperative cavernosogram. Preoperatively, the deep dorsal vein was visualized in all 9 patients, the cavernous vein in 2 and the corpus spongiosum in 1. Postoperatively, the deep dorsal vein was visualized in 1 patient, the cavernous vein in 1 and the corpus spongiosum in 8. These observations suggest that either the inability to identify a cavernous-spongiosal communication preoperatively or the induction of such a communication postoperatively may lead to a clinical failure in patients who undergo deep dorsal penile vein ligation.
authors.affiliation: Department of Surgery, UCLA School of Medicine, Harbor-UCLA Medical Center, Torrance 90509.
authors.forename: J
authors.initials: J
authors.lastname: Rajfer
authors.forename: M
authors.initials: M
authors.lastname: Mehringer
mesh_terms: D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000098:blood supply / Q000000981:diagnostic imaging*; D010690:Phlebography; D014680:Veins / Q000601:surgery