부산대학교 도서관

Although penile implantation remains a final solution for patients with refractory impotence, undesirable postoperative effects, including penile size reduction and cold sensation of the glans penis, remain problematic. We report results of a surgical method designed to avoid these problems. From 2003 to 2013, 35 consecutive patients received a malleable penile implant. Of these, 15 men (the enhancing group) were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal vein, and cavernosal veins. The remaining 20 men formed the control group, treated with only a penile implant. Follow-up ranged from 1.1 to 10.0 years, with an average of 6.7 ± 1.5 years. Although preoperative glanular dimension did not differ significantly between the two groups, significant respective difference at one day and one year postoperatively was found in the glanular circumference (128.8 ± 6.8mm versus 115.3 ± 7.2mmand 130.6 ± 7.2mmversus 100.5 ± 7.3 mm; both P < 0.05), radius (38.8 ± 2.7mmversus 37.1 ± 2.8mmand 41.5 ± 2.6mm versus 33.8 ± 2.9 mm; latter P < 0.01), and satisfaction rate (91.7% versus 53.3%, P < 0.01) as well. Based on our results, selective venous ligation appears to enhance the glans penis dimension in implant patients. [ABSTRACT FROM AUTHOR]