The effect of electrocoagulation on the sinusoids in the human penis

J Androl. Nov-Dec 2004;25(6):954-9. doi: 10.1002/j.1939-4640.2004.tb03167.x.

Abstract

We give an overview of patients who have undergone removal of the deep dorsal vein for venous grafting in treating Peyronie disease with or without a Bovie effect. From June 1998 to May 2002, 23 men received grafting of the deep dorsal vein for morphologic correction. Among them, 7 men underwent electrocoagulation treatment of bleeders per surgeons' customary practice during the entire procedure and were categorized as the electrocoagulation group. Sixteen patients received simple ligation of bleeding stumps, with 6-0 nylon sutures, and were classified as the ligation group. All were followed for satisfaction of penile morphology and assessed by the abridged 5-item version of the international index of erectile function (IIEF-5) scoring for erectile capability. In the electrocoagulation group, a mean preoperative IIEF-5 score of 22.5 +/- 1.6 decreased to a mean postoperative IIEF-5 score of 17.9 +/- 4.1. Among them 2 men (28.6%) had sustained postoperative infection. Follow-up cavernosograms showing relatively poor filling are commensurate with intracavernosal fibrosis. In the ligation group, however, the mean IIEF-5 score was 22.3 +/- 1.9 preoperative and 22.9 +/- 2.0 postoperative. Although there was no statistical significance between the 2 groups in preoperative IIEF scores, there was a significant difference between groups postoperatively. Application of electrocoagulation appears to be disadvantageous in preserving erectile tissues. A Bovie effect should be avoided in this erectile organ in order to preserve erectile capability and avoid infection.

MeSH terms

  • Adult
  • Electrocoagulation*
  • Hemorrhage / etiology*
  • Hemorrhage / surgery
  • Hemorrhage / therapy*
  • Humans
  • Ligation
  • Male
  • Middle Aged
  • Penile Induration / diagnostic imaging
  • Penile Induration / pathology
  • Penile Induration / surgery*
  • Penis / blood supply
  • Penis / diagnostic imaging
  • Penis / pathology
  • Penis / surgery*
  • Radiography
  • Retrospective Studies
  • Transplantation, Autologous
  • Veins / transplantation*