What are the indications for dorsal deep vein ligation?

Nowadays, many men choose to terminate their fertility through deep dorsal venous ligation. Many men believe that this method is safer and does not require medication, so this method is chosen in many areas. So what are the indications for dorsal venous ligation? In order to understand it more clearly, please read the detailed introduction below.

Deep dorsal penile vein ligation: Venous leakage is often caused by abnormal passive compression closure mechanism of the vein under the tunica albuginea of ​​the penis, including incomplete relaxation of the corpus cavernosum smooth muscle, abnormal neural control, and elasticity loss caused by fibrosis of the corpus cavernosum. By ligating the vein, the venous blood in the corpus cavernosum of the penis is prevented from flowing back, thereby 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.

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 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 content specifically introduces the deep dorsal penile vein ligation surgery, not only introducing its indications, but also introducing its surgical methods. Therefore, you can understand the above content, through an experienced doctor, through a regular beauty institution, to perform this type of ligation surgery, so that your ligation effect will be better and you will be more satisfied.