Penile venous leakage is a common disease in men. This disease is actually the inability of the male genitals to erect normally, and it is also a kind of impotence disease. We all know that impotence and the inability to erect normally are very damaging to men's self-esteem. Especially when some men have such a disease, they become very unconfident, which has a great impact on their life and work, and even affects the relationship between husband and wife. So what kind of treatment method should be adopted for penile venous leakage? Purpose of surgery It mainly blocks the venous blood backflow in the corpus cavernosum of the penis by ligating the veins, thus achieving effective erection of the penis. Surgical Indications Congenitally thick or excessive penis veins, abnormal communication branches between the penile corpus cavernosum and the urethral corpus cavernosum, are common in patients with congenital malformations or undergoing shunt surgery due to priapism. Patient selection should refer to good arterial response to ultrasound Doppler examination; poor results of corpus cavernosum injection therapy and vacuum negative pressure device; quit smoking; no severe systemic diseases such as diabetes and arteriosclerosis; age less than 60 years old. Repeated penile corpus cavernosum pressure measurement or penile corpus cavernosum radiography before surgery is very helpful in clarifying the path of venous leakage and determining the surgical method. Surgical method 1. Dorsal deep vein ligation 2. Ligation of the penile corpus cavernosum 3. Corpus cavernosum ligation 4. Urethral Corpus Cavernosa Stripping 5. Bilateral internal iliac vein ligation. Surgical method The deep dorsal penis vein ligation surgery is a surgery to treat venous leakage impotence by ligating the deep dorsal penis vein. It can be performed under local anesthesia or spinal anesthesia. A 3cm long incision is made on the dorsal side of the penis from the root downward. The deep dorsal penis vein is located in the groove formed by the corpus cavernosum on the upper and lower sides of the penile fascia, and the dorsal penis artery can be seen on both sides. After finding the deep dorsal penis vein, this vein can be moved 5cm away from the root of the penis to the distal end, and its branches are ligated, and then the two ends of the main trunk are ligated, and a 5cm long dorsal deep vein is cut. After the vein is ligated and cut, you can immediately inject poppyrine and phentolamine to induce artificial erection. First, tie a tourniquet at the base of the penis, and then inject 60mg of poppyrine and 2mg of phentolamine into the cavernous body of the penis on one side. Loosen the tourniquet after 2 minutes, and some patients will have an erection after about 10 minutes. At this time, you can use 100ml of physiological saline to inject it into the cavernous body at a speed of 60ml/min, and the penis will have a good erection, proving that the ligation operation is successful. The above is the treatment method for penile venous leakage. We hope that our introduction can help male friends. Because penile venous leakage is a problem of male genitals, many men are reluctant to go to the hospital for treatment when facing such a situation. This idea is wrong and will make their disease worse. Therefore, it is necessary to go to a regular hospital for treatment in time to restore men's self-confidence as soon as possible. |
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