What is it about?
This is a groundbreaking anatomical study that challenges standard medical textbook descriptions of the human penis. The Gap: Conventional anatomy often portrays a simplified venous system. The Discovery: Through meticulous dissection, this article provides an "additional description," mapping previously overlooked or poorly understood venous networks—specifically deeper structures like the cavernosal veins and complex para-arterial veins. The Implication: It links these newly described structures directly to clinical practice, arguing that these are often the culprits in venous leakage (ED).
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Why is it important?
Explaining Surgical Failure: It offers a clear reason why traditional, simple venous ligation surgeries often fail to cure ED: the surgeons are missing the complex, "hidden" veins that are actually causing the leak. Basis for Microsurgery: It provides the necessary anatomical roadmap for refined, complex microsurgical procedures (like Dr. Hsu’s PVSS) that target all the relevant veins, not just the superficial ones. Elevating Standards: It pushes the field of urology to move beyond simplified diagrams and demand a deeper understanding of pelvic anatomy.
Perspectives
The Surgeon's View (Dr. Hsu): You cannot fix what you do not know exists. Reliance on outdated textbooks leads to incomplete surgery. True success comes from mastering the complex reality revealed by dissection. The Patient's View: It provides an answer to the frustrating question, "Why didn't my previous treatment work?" The answer is that the root cause was literally hidden from the surgeon's view by incomplete knowledge.
Professor Geng-Long Hsu
Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology
Read the Original
This page is a summary of: Penile Venous Anatomy: An Additional Description and Its Clinical Implication, Journal of Andrology, November 2003, Wiley,
DOI: 10.1002/j.1939-4640.2003.tb03145.x.
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