How is penile vascular bypass surgery performed?

How is penile vascular bypass surgery performed?

The penis is the most important reproductive organ for men. It is very important for men's life because it is the tool for men to reproduce and enjoy sexual pleasure. Once the penis has disease problems, it will bring huge adverse effects to life. For example, abnormal penis erection is a very painful thing for men. The most advanced method is to use penile vascular shunt surgery to deal with it. Let's take a look at how to do penile vascular shunt surgery?

Indications for penile vascular shunt surgery:

Abnormal penile erection that is unresponsive to medical treatment.

The surgical steps of penile vascular bypass surgery:

1. Penile glans-corpus cavernosum puncture shunt

Use a No. 18 puncture needle or Kirschner wire to pierce the corpus cavernosum on one side from the back of the glans penis, about 4 to 5 cm deep. Squeeze the penis to release the blood. Rinse with heparin solution until fresh blood flows out, then remove the needle. If you use a Kirschner wire to puncture the glans penis, you can insert a thick needle into the corpus cavernosum on one side to rinse it after the procedure. After removing the needle, press the needle hole for 5 minutes. After rinsing, suture the puncture hole of the glans penis with fine silk thread.

2. Penile glans-corpus cavernosum stab shunt

Aim at the side of the penis cavernous body on the back of the glans penis, vertically insert a surgical knife, puncture the tough white membrane, the puncture depth is 4 to 5 cm, wait for the resistance to suddenly decrease and dark red blood to flow out, then rotate the blade 90 degrees, and cut the white membrane again in a "cross" shape to achieve full drainage, squeeze the penis, and discharge blood stasis. In addition, a 18-gauge thick needle can be inserted into the penis cavernous body at the root of the penis, and heparin and other permeable saline water can be injected for perfusion and flushing. After fresh blood flows out of the puncture hole, the penis glans puncture incision is sutured with fine silk thread.

3. AL-Ghorad Shunt

Make a 2-cm long transverse incision on the dorsal side of the glans penis, 1 cm away from the coronal sulcus. Cut the glans penis tissue to the end of the corpus cavernosum. Cut off a piece of tunica albuginea with a diameter of 0.5 cm from the ends of the left and right corpora cavernosa. Squeeze out the dark red viscous blood in the corpus cavernosum. Rinse repeatedly with heparin or other saline solution until fresh blood flows out. Suture the glans penis incision.

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