Penile angiography is not indicated in-
Penile angiography is performed in selected cases of patient suspected of isolated arterial disease( vascular malformation, priapism, diabetic angiopathy and in whom surgical repair is considered).
a. Hard plaques of fibrosis in the tunica of one or both corpora cavernosa.
b. Erect penis bends towards the side of the plaque.
c. Associated with history of past trauma and Dupuytren’s contracture.
a. Some cases resolve on their own in 3-5 years.
b. Nesbitt’s operation- placing non absorbable suture in the corpus cavernosum opposite the plaque
a. Penis remains erect and becomes painful. Pathological erection
b. Glans and corpus spongiosum are not involved.
c. Usually occurs as a complication of Sickle cell disease, Leukemia, Therapeutic injection of Papaverine, abnormally prolonged bout of otherwise normal sexual activity.
d. Rarely due to malignant disease or spinal cord disease.
a. Aspiration of corpora cavernosa,
b. Injection of metaraminol or 1:100000 adrenaline to cause detumescence.
c. If it fails then anastomoses between spongiosum and cavernosum