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Evaluation of the Cavernous Occlusive System

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Erectile Dysfunction
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Abstract

Recent experimental studies show that the smooth muscle of the cavernous tissue plays a key role in the hemodynamics of penile erection [5, 8]. A fully rigid erection requires, in addition to cavernous relaxation, a large reduction in the cavernous outflow [2], which is brought about both by the passive compression of venous cushions between the cavernous sinusoids and the tunica albuginea [2], and the squeezing of the obliquely running venae perforantes within the tunica albuginea [7]. Therefore, excessive cavernous outflow can be caused by incomplete cavernosal relaxation, e.g., by cavernous fibrosis due to diabetes, or by disturbances of the squeezing mechanism within the tunica albuginea, or by both.

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References

  1. Ebbehoj J, Wagner G (1979) Insufficient penile erection due to abnormal drainage of cavernous bodies. Urology 13: 507

    Article  PubMed  CAS  Google Scholar 

  2. Fournier GR, Jünemann KP, Lue TF, Tanagho EA (1987) Mechanisms of venous occlusion during canine penile erection. J Urol 137: 163

    PubMed  Google Scholar 

  3. Gilbert P, Stief CG (1987) Spongiosolysis: A new surgical treatment of impotence caused by distal venous leakage. J Urol 138: 784

    Google Scholar 

  4. Jevtich MJ (1980) Importance of penile arterial pulse sound examination in impotence. J Urol 124: 820

    PubMed  CAS  Google Scholar 

  5. Jünemann KP, Lue TF, Fournier GR, Tanagho EA (1986) Hemodynamics of papaverin-and phentolamin-induced erections. J Urol 136: 158

    Google Scholar 

  6. Kölliker A (1852) Das anatomische und physiologische Verhalten der cavernösen Körper der Sexualorgane. Verh Phys-Med Ges Würzburg 2: 118

    Google Scholar 

  7. Lierse W (1982) Blood vessels and nerves of the human penis. Urol Int 37: 145

    Article  PubMed  CAS  Google Scholar 

  8. Lue TF, Takamura T, Umraya M., Schmidt RA, Tanagho EA (1984) Hemodynamics of canine corpora cavernosa during erection. Urology 24: 347

    Article  PubMed  CAS  Google Scholar 

  9. Stief CG, Wetterauer U (1989) Quantitative and qualitative analysis of dynamic cavernosographies in erectile dysfunction due to venous leakage. Urology 34: 252

    Article  PubMed  CAS  Google Scholar 

  10. Stief CG, Diederichs W, Benard F, Bosch R, Lue TF, Tanagho EA (1988) The diagnosis of venogenic impotence: dynamic or pharmacologic cavernosometry? J Urol 140: 1561

    PubMed  CAS  Google Scholar 

  11. Stief CG, Benard F, Diederichs W, Bosch R, Lue TF, Tanagho ET (1988) The rationale for pharmacologic cavernosography. J Urol 140: 1564

    PubMed  CAS  Google Scholar 

  12. Stief CG, Bähren W, Gall H, Scherb W (1988) Functional evaluation of penile hemodynamics. J Urol 139: 734

    PubMed  CAS  Google Scholar 

  13. Virag R, Legman M, Zwang G, Dermange H (1979) L’utilisation de l’erection passive dans l’exploration de l’impuissance d’origine vasculaire. Contraception Fertilite Sexualite 7: 707

    Google Scholar 

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© 1991 Springer-Verlag Berlin Heidelberg

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Stief, C.G. (1991). Evaluation of the Cavernous Occlusive System. In: Jonas, U., Thon, W.F., Stief, C.G. (eds) Erectile Dysfunction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-00986-4_13

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  • DOI: https://doi.org/10.1007/978-3-662-00986-4_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-00988-8

  • Online ISBN: 978-3-662-00986-4

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