Treatment of penile deep dorsal venous leakage of erectile dysfunction by embedding the deep dorsal vein of the penis: a single center experience with 17 patients The new surgical technique of EDDVP is a simple operative procedure, which seems to be efficient in the treatment of penile deep dorsal venous leakage of ED However, antibiotic therapy should be administered when cellulitis is suspected and vein stripping may be necessary for severe, persistent cases of Mondor's Disease. An injection of 0.5% bupivacaine hydrochloride subcutaneously in the region surrounding the affected vein has provided relief to patients who are in acute pain During the procedure we isolated and cannulated the deep dorsal vein through a small dorsal penile incision with the patient under local anesthesia
To assess the outcomes of embedding the deep dorsal vein of the penis (EDDVP), a new surgical technique used in patients with penile deep dorsal venous leakage of ED. Methods. Between December 2001 and November 2007, 17 patients diagnosed with penile deep dorsal venous leakage of ED underwent embedding the deep dorsal vein of the penis No untoward effects are expected from ligation of the dorsal vein due to the previous experience with intentional ligation for the treatment of erectile dysfunction secondary to the venous-leak phenomenon.7, 8 We conclude that rupture of the deep dorsal vein should be considered in the differential diagnosis of the acute penis
New treatment for venous leakage: embedding the deep dorsal vein of the penis There is a new simple treatment for venous leak (e.g. deflated glans) available by embedding the deep dorsal vein. There is also a video available that shows how simple this procedure is compared to other surgery This may be due to injury to penile dorsal artery, deep dorsal vein, superficial dorsal vein, or nonspecific dartos bleeding . In the largest study of false penile fractures, Bar‐Yosef et al. reported that nine out of 17 procedures done for false penile fractures had dorsal vein rupture  A penile ultrasound revealed complete thrombosis of the dorsal vein. The CBC was within normal limits and urinalysis results were negative for red or white blood cells. The patient was treated with oral pain control, aspirin, and discharged home with Urology follow-up. Figure The superficial dorsal vein was sitting on top looking quite normal so it was most likely the deep dorsal vein that was damaged. The vein seems to have calmed right down as of about 5 or 6 days ago to the point where I can't really feel it or any abnormality. However all other symptoms are still well and truly present NOHARD. Hi, Look if you google dorsal vein and look at the images, you will see if yours looks the same, but there ahve been a couple of repoted cases of it bursting, but in way older men than you, the cases were through sex and not masturbating, so at your age you should be ok, if this is worrying you mad, it will send you that way, just go.
The treatment of the superficial dorsal venous thrombosis of the penis varied from simple observation, conservative therapy, and anticoagulation drugs administration to radical treatment with surgery including thrombectomy and dorsal vein resection. Thrombophlebitis of a dorsal vein of the penis; report of a case treated by. Usually minor issue: It sounds to me from your description that you have soreness to the dorsal vein of the penis for trauma. Usually this is a self limited issue and will resolve in time. Can try antiinflammatories like ibuprofen and heat sometimes that helps resolve the issue
Treatment Penile Mondor's disease is clinically divided in three stages as acute, subacute-chronic and recanalization stages [16-18]. In many cases, it recovers within 4 to 6 weeks with the vessel re-gain permeability in 9 weeks without any medical treatment AIMS: To assess the outcomes of embedding the deep dorsal vein of the penis (EDDVP), a new surgical technique used in patients with penile deep dorsal venous leakage of ED. METHODS: Between December 2001 and November 2007, 17 patients diagnosed with penile deep dorsal venous leakage of ED underwent embedding the deep dorsal vein of the penis A dye is injected into a large vein in your foot or ankle. An X-ray creates an image of the veins in your legs and feet, to look for clots. The test is invasive, so it's rarely performed. Other tests, such as ultrasound, often are done first. Magnetic resonance imaging (MRI) scan. This test may be done to diagnose DVT in veins of the abdomen . 2015-04-01. by Michael C. Dalsing, MD. Two decades ago venous valve reconstruction was the final option in the treatment of deep venous insufficiency and was generally only considered when all else had been unsuccessful in preventing recurrent venous ulceration
Venous leakage ligation is one of the most popular treatments for venous leak problem. The procedure involves resection of the deep dorsal veins and joining of the cavernous vein with the cavernous artery while ensuring safety of the dorsal nerves and artery Superficial dorsal vein. The superficial dorsal vein of the penis drains the prepuce and skin of the penis, and, running backward in the subcutaneous tissue, inclines to the right or left, and opens into the corresponding superficial external pudendal vein, a tributary of the great saphenous vein.. In contrast to the deep dorsal vein, it lies outside Buck's fascia The arteries are usually obvious, located on either side of the deep dorsal vein and surrounded by the dorsal nerves. Isolation of the dorsal penile arteries for such arterial bypass surgery requires limited dissection at this time in the procedure; thus, ischemic, mechanical, and thermal trauma to the dorsal penile arteries may be minimized
Abstract Unusual causes of acute penis, such as the rupture of a superficial vein of the penis, can mimic fractured penis. The diagnosis in such cases is mostly after exploration. The author describes a case where a high index of clinical suspicion led to the diagnosis of the rupture of a superficial dorsal vein of the penis without exploration Dorsal vein injury is the most frequent entity which presents with sudden onset of hematoma and swelling mimicking penile fracture. In this study, 11 patients presented with sudden swelling and hematoma of the penis and proved to have superficial dorsal penile vein injury on surgical exploration The superficial dorsal vein drains the skin and subcutaneous tissues of the penis, ultimately draining into the superficial external pudendal vein. The deep dorsal vein drains the glans penis, the corpus spongiosum, and part of the corpora cavernosa. The cavernous veins are a venous plexus that drain the corpora and join the deep dorsal vein of.
The emissary veins perforate the tunica albuginea, ultimately draining into the deep dorsal vein, to drain the cavernous bodies and corpus spongiosum. Alongside the deep dorsal vein, there is a pair of cavernous veins and two pairs of para-arterial veins which also drain the deep system.1 2 Organic ED is most commonly due to a vascular. The deep dorsal vein opens into the periprostatic plexus (Santorini's plexus) beneath the arcuate ligament of pubis. The pudendal plexus and Santorini's plexus finally unite and drain into the internal iliac vein. Other penile veins are the comunicantes veins. Fig. 3.1 Arterial and venous supply of the penis When the penis is erect, the corporal tissue (the main part of the penis shaft) squeezes the deep dorsal vein and penile venules of the shaft, which slows the outflow of blood. If the outflow is faster than the inflow, the erection will be weakened or lost: when the outflow can be slowed, an erection can be maintained
Usually blood clots go away on their own and in some cases, they may require treatment but if the situation worsens it may lead to Deep Vein Thrombosis or DVT. DVT is a serious condition that occurs when a blood clot (thrombus) forms in one or more veins located deep inside your body. It may usually occur due to a leg injury gone bad Dr. John Munshower answered. 30 years experience Family Medicine. Dorsal vein: You are probably seeing the superficail dorsal vein of your penis, which is normal. If concerned, see a dr. And get an evaluation. Send thanks to the doctor Treatment. Penile Mondor's disease (PMD) is a rare disorder that causes thrombophlebitis (inflammation leading to blood clots) in the superficial veins of the penis, manifesting with transient pain and swelling. 1 PMD often occurs as a result of trauma to the penis or prolonged or vigorous sex and is believed by some to be of genetic origin. Deep dorsal vein of penis. The deep dorsal vein of the penis drains oxygen-depleted blood away from the glans, which is the external head of the sexual organ. This vein runs the length of the shaft and it eventually flows into the prostatic venous plexus near a man's prostate gland If a patient complains of soft glans syndrome, the following diagnostic tests are available. Photography in the erect state can confirm the soft glans syndrome. Spongiography in the pharmacologically erect state can reveal contrast in the glans penis and deep dorsal veins consistent with spongiosal veno-occlusive dysfunction
Combined surgical resection and ligation of the deep dorsal and cavernous veins enabled 93% of 35 men to achieve penetrative intercourse at two months but this figure fell to 63% at 12 months, 36 whilst combined resection/ligation of the superficial and deep dorsal veins of the penis enabled one-third of 122 men to achieve unaided sexual. . Diagnosis of penile fracture The diagnosis of penile fracture can usually be made solely on clinical grounds, and most authors report accurate diagnoses without imaging studies. Where the history indicates a possible injury but the physica
Penile vein dissection pressure suﬃciently for rigid erection. There is a and ligation involves removal of the deep dorsal causal or accompanying venous insuﬃciency in vein of the penis and its tributaries or large veins 20-35% of patients with erectile dysfunction . that drain eventually Penile vein dissection and ligation involves removal of the deep dorsal vein of the penis and its tributaries or large veins that drain eventually. While some investigators report improvement by venous ligation in as much as 80% of the patients [8,9], others achieved success in as few as 20% [10,11] The deep system drains the cavernous bodies and the glans penis. The emissary veins perforate the tunica albuginea, ultimately draining into the deep dorsal vein, to drain the cavernous bodies and corpus spongiosum. Alongside the deep dorsal vein, there is a pair of cavernous veins and two pairs of para-arterial veins which also drain the deep. Intermediate drainage outflow: deep dorsal vein and circumflex system (below Buck's fascia and above tunica) Deep drainage outflow: deep penile or cavernous system. Dorsal skin and subcutaneous tissue by the superficial dorsal vein, emptying into a saphenous vein via the external pudendal vein or inferior epigastric vein
Coils should be oversized up to 50% of the actual vein diameter to prevent inadvertent coil migration. Technical success rates range between 86 and 97%. Technical failures were due to failed direct deep dorsal vein puncture or failed access to periprostatic veins via the femoral approach The tissue Tunica albuginea is mainly involved in the erection of the penis with the help of the Buck's fascia where deep dorsal vein restrict the blood from leaving the penis and then maintain the erection. This damage may be the reason why the penis will not erect because the tunica albuginea is broken. Broken Penis Symptoms & Signs. Furthermore, Buck's fascia separates the superficial dorsal vein from the deep dorsal vein and artery . The circumflex veins merge with the deep dorsal vein along the length of the penile shaft, and thus the deep dorsal vein runs between the corpora cavernosa to drain the glans and the corpora into the pre-prostatic venous plexus Treatment. The following The erectile dysfunction is the direct result of an arterial injury caused by blunt trauma to the pelvis and/or perineum; and. 2. In a related procedure called deep dorsal vein arterialization, a penile vein is used for the bypass. Young men with local sites of arterial blockage or those with pelvic injuries.
The circumflex veins orginate in the corpus spongiosa and extend around the corpus cavernosum on either side to merge with the deep dorsal vein perpendicularly. They are only present in the two distal thirds of the penis and total between 3 and 10 in number The emissary veins of the middle and distal penis join to form the circumflex veins, which empty into the deep dorsal vein. Both the emissary and circumflex veins have valves. The emissary veins of the proximal penis form the cavernous vein, which empties into the internal pudendal. The intermediate set of veins is deep to Buck's fascia
Peyronie's plaque: surgical treatment with the carbon dioxide laser and a deep dorsal vein patch graft. dystrophic calcifications from within the plaque and to augment the repair in the area of greatest curvature using the deep dorsal vein as a patch graft. In cases of narrow plaques relaxation incisions and venous patch grafting alone are. Mondor's disease is a rare, self-limiting, benign process with acute presentation characterized by subcutaneous bands in several parts of the body. Penile Mondor's disease (PMD) is thrombophlebitis of the superficial dorsal vein of the penis. It is usually considered as thrombophlebitis or phlebitis of subcutaneous vessels. Some findings suggest that it might be of lymphatic origin
The deep penile arteries and superficial deep dorsal vein were not repaired. The outcome was good with a normal-appearing penis, good sensation, ability of penile erection, and ejaculation 9 . They suggested that the spongiosal bodies may play a role in the arterial supply, venous drainage, and penile erection Barry Cavernoso-Dorsal Vein Shunt • The deep dorsal vein is anastomosed to the tunica albuginea. • A wedge of tunica tissue is excised that is proportionate to the size of the dorsal vein. 84. Grayhack Cavernoso-Saphenous Shunt • The saphenous vein is mobilized by dividing and ligating the tributaries Deep vein thrombosis, or DVT, occurs when a blood clot forms in one of the deep veins of the body. This can happen if a vein becomes damaged or if the blood flow within a vein slows down or stops. While there are a number of risk factors for developing a DVT, two of the most common are an injury to your lower body and surgery that involves your. In contrast to the deep dorsal vein, it lies outside the deep fascia known as Buck's fascia. It is possible for the vein to rupture, which presents in a manner similar to penile fracture. Deep Dorsal Vein The deep dorsal vein of the penis lies between the deep (Buck's) fascia of the penis and the tunica albuginea which surround the corpus. The usual drainage of the prostate is via the internal pudendal vein which drains into the anterior branch of the internal iliac vein. The plexus however does collateralize with the external pudendal vein which drains into the external iliac system, and the vertebral venous system or Batson's plexus, which is the valveless system that drains the spinal cord and vertebral column
Venous leak, also called venogenic erectile dysfunction and penile venous insufficiency, is one category of vasculogenic impotence -a cause of erectile dysfunction in males. It affects all ages, being particularly awkward in young men. Much about venous leaks has not reached a consensus among the medical community, and many aspects of the condition, particularly its treatment strategies, are. . These acute penile emergencies necessitate urgent medical attention and in most cases prompt interference. Dorsal vein injury is the most frequent entity which presents with sudden onset of hematoma and swelling mimicking penile fracture Subsequent venogram verified successful embolization with stasis within the outflow of the deep dorsal vein of penis. Close to 6 weeks after the procedure, the patient purports to be able to achieve approximately 65% of full penile erection and complete penile erection with penile stimulation and 0.25 mL injection of alprostadil after 25 minutes
Freedman AL, Costa Neto F, Mehringer CM, Raifer J. Longterm results of penile vein ligation for venos leakage. J Urol 1993; 1301: 149. Google Scholar 6. Peşkircioğlu L, Tekin I, Boyvat F, Karabulut A, Özkardeş H. Embolization of the deep dorsal vein for the treatment of erectile impotence due to veno-occlussiv dysfunction The boy's penis was bitten by the puppy, and the deep dorsal vein was injured. The damaged vein: (A) Lies superficial to Buck's fascia. (B) Drains into the prostatic venous plexus. (C) Lies lateral to the dorsal artery of the penis. (D) Is found in the corpus spongiosum. (E) Is dilated during erection. (B) Drains into the prostatic venous plexus The circumflex veins merge with the deep dorsal Beside frequent, severe, or prolonged sexual intercourse, vein along the length of the penile shaft, and thus the deep other possible triggering factors include penile trauma involv- dorsal vein runs between the corpora cavernosa to drain the ing stretching or buckling forces, vacuum erection. The superficial and deep branches of the external pudendal arteries supply the penile skin. The deep dorsal vein of the penis receives blood from the venous plexus which receives drained blood from the cavernous spaces. The superficial dorsal vein drains blood from the skin and subcutaneous tissue of the penis
The boy's penis was bitten by the puppy, and the deep dorsal vein was injured. The damaged vein. drains into the prostatic venous plexus. A 62-year-old man is incapable of penile erection after rectal surgery with prostatectomy. The patient most likely has a lesion of which of the following nerves •Dorsal arteries of the clitoris - superficial, either side of deep dorsal vein • •Deep arteries - inside corpora cavernosa, involved in erection, also supply crura • •Artery of bulb •Post. labial aa Eliminate Varicose Veins with a 45 Min. Office Procedure in Manhattan anoacrilate (NBCA) and lipiodol injection into the deep dorsal vein for the treatment of 32 patients with venogenic erectile dysfunction. Methods. A total of 32 patients with the confirmed diagnosis of venogenic erectile dysfunction, with (n=15) or without (n=17) associated comorbidities were included. Deep dorsal veins were embolized with NBC
A 59-year-old man with a 6-year history of erectile dysfunction presented to the andrology outpatient clinic. Multimodality assessment with ultrasound, MRI venography and fluoroscopic venography demonstrated an aberrant emissary vein arising from the corporal bodies causing venogenic erectile dysfunction. Selective coil embolisation of the collateral vein resulted in an almost immediate and. Venous drainage is provided by the deep dorsal vein of the penis (DDVP), located deep to the Buck fascia and flanked by the dorsal arteries of the penis (DAP), and the superficial dorsal vein of the penis (SDVP), located within the Dartos fascia (DF), which is also known as the superficial fascia of the penis. Figure 1 As noted earlier, connections can exist between the deep and superficial dorsal veins. The deep dorsal vein may consist of a number of anastomosing tributaries along the penile shaft. The deep dorsal vein receives blood from the emissary and circumflex veins and passes beneath the pubis at the level of the suspensory ligament
This is engorged ,dilated tributary of the Superficial Dorsal Vein of penis which is seen in many individuals and has no significance at all .The knot that you palpate is a valve where it drains into deep vein of Penis This is is not going to harm you in way and not going to affect your sexual potency and erection ,so no treatment is required Treatments for perineal injury vary with the severity and type of injury. If you are bleeding, your health care professional will take immediate steps to minimize blood loss and repair the injury. Tears or incisions may require stitches, and burns may require ointment. Traumatic or piercing injuries may require surgery to repair damaged pelvic. 34. Zhang B, Chen J Xiao H, et al. Treatment of penile deep dorsal venous leakage of erectile dysfunction by embedding the deep dorsal vein of the penis: a single center experience with 17 patients. J Sex Med 2009;6:1467-73. 35. Kutlu R. Deep dorsal vein embolization with N-butyl After debridement of devascularized tissue, corpora cavernosal, and urethral continuity is re-established, and the dorsal arteries, vein, and nerve are re-anastomosed. 35. Urethral injury should be considered in all patients with penile trauma, and consideration should be given to suprapubic urinary diversion to minimize tension on surgical. The penile varicose vein is most likely the vein on top (the dorsal penile vein). This vein is sometimes ligated in men with erection problems. A urologist would typically examine the area and then he/she would recommend an ultrasound to find out if the vein is problematic. Based on information gathered in the exam and ultrasound, your doctor.