Immediate impotence after penetrating perineal trauma: Restoration of erections with penile artery revascularization, corpus cavernosum aneurysm repair, and deep penile venous l1gation

Mark R. Licht, Ronald W. Lewis, Peter D. Sershon

Research output: Contribution to journalArticle

5 Scopus citations

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 cavemosum 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.

Original languageEnglish (US)
Pages (from-to)577-580
Number of pages4
JournalUrology
Volume46
Issue number4
DOIs
StatePublished - Oct 1995

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ASJC Scopus subject areas

  • Urology

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