What is it about?
This paper proposes a new, more detailed "hypothesis" (theory) about how the human penis is structured and how it traps blood to create an erection. The Old View: Conventional anatomy textbooks often oversimplify the penis’s venous system and how it closes off during an erection. The New Hypothesis: Dr. Hsu argues that the anatomy is far more complex, involving specific multi-layered fibrous structures and a intricate network of veins (the "De Novo" anatomy). Hemodynamics: It explains blood flow based on this new map, arguing that a successful erection relies on a complex "locking mechanism" involving these specific anatomical layers, not just a simple valve.
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Why is it important?
The Foundation of Treatment: You cannot fix a machine if you don't have the correct blueprint. This paper claims the old blueprint used by most doctors is wrong. Explains Failure: It explains why many traditional surgeries for venous leakage fail—they are operating based on an incomplete map and missing the crucial, complex veins. Clinical Roadmap: It provides the necessary anatomical justification for refined, microsurgical procedures (like the refined PVSS) that target the specific structures identified in this new hypothesis.
Perspectives
The Surgical Perspective: It requires urologists to un-learn oversimplified anatomy and master a difficult, complex new model to achieve better results. The Patient Perspective: It means their condition (venous leak) is not hopeless; it was just misunderstood. A better anatomical understanding leads to more effective treatments that don't rely solely on implants.
Professor Geng-Long Hsu
Microsurgical Potency Reconstruction and Research Center, Hsu’s Andrology
Read the Original
This page is a summary of: Hypothesis of human penile anatomy, erection hemodynamics and their clinical applications, Asian Journal of Andrology, March 2006, Medknow,
DOI: 10.1111/j.1745-7262.2006.00108.x.
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