title: Immediate impotence after penetrating perineal trauma: restoration of erections with penile artery revascularization, corpus cavernosum aneurysm repair, and deep penile venous ligation.
abstract: Erectile dysfunction can result from blunt or penetrating pelvic or perineal trauma. Rupture of the corpora cavernosa leading to loss of the veno-occlusive mechanism and penile artery occlusion have been found in these patients. We present a case of immediate loss of erectile function after penetrating perineal trauma resulting in corpus cavernosum rupture and traumatic occlusion of multiple arteries in the hypogastric-cavernous bed. Conservative management of the corpus injury resulted in post-traumatic aneurysmal dilation at the site of injury with venous leakage from aberrant veins. Penile arterial revascularization and aneurysm repair with deep penile venous ligation resulted in near-complete return of normal erectile function.
authors.affiliation: Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA.
authors.forename: M R
authors.initials: MR
authors.lastname: Licht
authors.forename: R W
authors.initials: RW
authors.lastname: Lewis
authors.forename: P D
authors.initials: PD
authors.lastname: Sershon
mesh_terms: D000293:Adolescent; D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D007172:Erectile Dysfunction / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D010413:Penis / Q000098:blood supply* / Q000293:injuries* / Q000601:surgery; D010502:Perineum / Q000293:injuries*; D012074:Remission Induction; D014680:Veins; D014950:Wounds, Penetrating / Q000150:complications*