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Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation
Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 20...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140147/ https://www.ncbi.nlm.nih.gov/pubmed/25165719 http://dx.doi.org/10.1155/2014/923171 |
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author | Hsu, Geng-Long Hill, James W. Hsieh, Cheng-Hsing Liu, Shih-Ping Hsu, Chih-Yuan |
author_facet | Hsu, Geng-Long Hill, James W. Hsieh, Cheng-Hsing Liu, Shih-Ping Hsu, Chih-Yuan |
author_sort | Hsu, Geng-Long |
collection | PubMed |
description | Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 2003 to 2013, 35 consecutive patients received a malleable penile implant. Of these, 15 men (the enhancing group) were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal vein, and cavernosal veins. The remaining 20 men formed the control group, treated with only a penile implant. Follow-up ranged from 1.1 to 10.0 years, with an average of 6.7 ± 1.5 years. Although preoperative glanular dimension did not differ significantly between the two groups, significant respective difference at one day and one year postoperatively was found in the glanular circumference (128.8 ± 6.8 mm versus 115.3 ± 7.2 mm and 130.6 ± 7.2 mm versus 100.5 ± 7.3 mm; both P<0.05), radius (38.8 ± 2.7 mm versus 37.1 ± 2.8 mm and 41.5 ± 2.6 mm versus 33.8 ± 2.9 mm; latter P<0.01), and satisfaction rate (91.7% versus 53.3%, P<0.01) as well. Based on our results, selective venous ligation appears to enhance the glans penis dimension in implant patients. |
format | Online Article Text |
id | pubmed-4140147 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-41401472014-08-27 Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation Hsu, Geng-Long Hill, James W. Hsieh, Cheng-Hsing Liu, Shih-Ping Hsu, Chih-Yuan Biomed Res Int Research Article Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 2003 to 2013, 35 consecutive patients received a malleable penile implant. Of these, 15 men (the enhancing group) were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal vein, and cavernosal veins. The remaining 20 men formed the control group, treated with only a penile implant. Follow-up ranged from 1.1 to 10.0 years, with an average of 6.7 ± 1.5 years. Although preoperative glanular dimension did not differ significantly between the two groups, significant respective difference at one day and one year postoperatively was found in the glanular circumference (128.8 ± 6.8 mm versus 115.3 ± 7.2 mm and 130.6 ± 7.2 mm versus 100.5 ± 7.3 mm; both P<0.05), radius (38.8 ± 2.7 mm versus 37.1 ± 2.8 mm and 41.5 ± 2.6 mm versus 33.8 ± 2.9 mm; latter P<0.01), and satisfaction rate (91.7% versus 53.3%, P<0.01) as well. Based on our results, selective venous ligation appears to enhance the glans penis dimension in implant patients. Hindawi Publishing Corporation 2014 2014-08-07 /pmc/articles/PMC4140147/ /pubmed/25165719 http://dx.doi.org/10.1155/2014/923171 Text en Copyright © 2014 Geng-Long Hsu et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Hsu, Geng-Long Hill, James W. Hsieh, Cheng-Hsing Liu, Shih-Ping Hsu, Chih-Yuan Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation |
title | Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation |
title_full | Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation |
title_fullStr | Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation |
title_full_unstemmed | Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation |
title_short | Venous Ligation: A Novel Strategy for Glans Enhancement in Penile Prosthesis Implantation |
title_sort | venous ligation: a novel strategy for glans enhancement in penile prosthesis implantation |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140147/ https://www.ncbi.nlm.nih.gov/pubmed/25165719 http://dx.doi.org/10.1155/2014/923171 |
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