The effect of electrocoagulation on the sinusoids in the human penis.
We give an overview of patients who have undergone removal of the deep dorsal vein for venous grafting in treating Peyronie disease with or without a Bovie effect. From June 1998 to May 2002, 23 men received grafting of the deep dorsal vein for morphologic correction. Among them, 7 men underwent electrocoagulation treatment of bleeders per surgeons' customary practice during the entire procedure and were categorized as the electrocoagulation group. Sixteen patients received simple ligation of bleeding stumps, with 6-0 nylon sutures, and were classified as the ligation group. All were followed for satisfaction of penile morphology and assessed by the abridged 5-item version of the international index of erectile function (IIEF-5) scoring for erectile capability. In the electrocoagulation group, a mean preoperative IIEF-5 score of 22.5 +/- 1.6 decreased to a mean postoperative IIEF-5 score of 17.9 +/- 4.1. Among them 2 men (28.6%) had sustained postoperative infection. Follow-up cavernosograms showing relatively poor filling are commensurate with intracavernosal fibrosis. In the ligation group, however, the mean IIEF-5 score was 22.3 +/- 1.9 preoperative and 22.9 +/- 2.0 postoperative. Although there was no statistical significance between the 2 groups in preoperative IIEF scores, there was a significant difference between groups postoperatively. Application of electrocoagulation appears to be disadvantageous in preserving erectile tissues. A Bovie effect should be avoided in this erectile organ in order to preserve erectile capability and avoid infection.
Microsurgical Potency Reconstruction and Research Center, Taiwan Adventist Hospital, Taipei Medical Univeristy, Taiwan, ROC.
Geng-Long
GL
Hsu
Cheng-Hsing
CH
Hsieh
Hsien-Sheng
HS
Wen
Wen-Long
WL
Hsu
Yi-Chang
YC
Chen
Robert M
RM
Chen
Shyh-Chyan
SC
Chen
Ju-Ton
JT
Hsieh
D000328:Adult; D004564:Electrocoagulation; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D010411:Penile Induration / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010413:Penis / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D012189:Retrospective Studies; D014182:Transplantation, Autologous; D014680:Veins / Q000637:transplantation*