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Traumatic intracorporal septal avulsion resulting in cavernous veno-occlusive dysfunction

International Journal of Impotence Research volume 17, pages 295–296 (2005)Cite this article

Normal penile erection requires compression of subtunical veins against the tunica albuginea. The role of the intracorporal septum in veno-occlusion has not been described. We report a case of traumatic septal injury that resulted in site-specific cavernous veno-occlusive dysfunction (CVOD) and erectile dysfunction (ED).

A 44-y-old man was evaluated for ED 4 months after an untreated penile fracture. During the initial incident, the patient felt a ‘snap’ during intromission, followed by pain, detumescence, bruising of the penile shaft, and blood at his urethral meatus. He reported penile rigidity as 5/10, with a ‘bulge’ on the dorsum of the shaft during maximal rigidity. His ED did not improve with sildenafil citrate. He denied penile curvature or pain. Physical examination revealed dorsal mid-shaft thickening of the corporal bodies without a discrete plaque of the tunica albuginea. Urinalysis and retrograde urethrogram were normal.

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References

  1. Penson DF et al. The hemodynamic pathophysiology of impotence following blunt trauma to the erect penis. J Urol 1992; 148: 1171–1180.

    Article  CAS  Google Scholar 

  2. Berardinucci D et al. Surgical treatment of penile veno-occlusive dysfunction: is it justified? Urology 1996; 47: 88–92.

    Article  CAS  Google Scholar 

  3. Sasso F et al. Patient selection criteria in the surgical treatment of veno-occlusive dysfunction. J Urol 1999; 161: 1145–1147.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, University of Washington School of Medicine, Seattle, WA, USA

    T Walsh, K Tran, R Berger & H Wessells

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  1. T Walsh
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  2. K Tran
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  3. R Berger
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  4. H Wessells
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Correspondence to T Walsh.

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Walsh, T., Tran, K., Berger, R. et al. Traumatic intracorporal septal avulsion resulting in cavernous veno-occlusive dysfunction. Int J Impot Res 17, 295–296 (2005). https://doi.org/10.1038/sj.ijir.3901289

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  • DOI: https://doi.org/10.1038/sj.ijir.3901289

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