Document Detail


Immediate impotence after penetrating perineal trauma: restoration of erections with penile artery revascularization, corpus cavernosum aneurysm repair, and deep penile venous ligation.
MedLine Citation:
PMID:  7571235     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 cavernosum 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.
Authors:
M R Licht; R W Lewis; P D Sershon
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Urology     Volume:  46     ISSN:  0090-4295     ISO Abbreviation:  Urology     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-11-09     Completed Date:  1995-11-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  577-80     Citation Subset:  IM    
Affiliation:
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aneurysm / etiology,  surgery*
Arteries / surgery
Erectile Dysfunction / etiology,  surgery*
Humans
Ligation
Male
Penis / blood supply*,  injuries*,  surgery
Perineum / injuries*
Remission Induction
Veins
Wounds, Penetrating / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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