A year-old man with a 6-year history of erectile dysfunction presented to the andrology outpatient clinic. Multimodality assessment with ultrasound, MRI venography and fluoroscopic venography demonstrated an aberrant emissary vein arising from the corporal bodies causing venogenic erectile dysfunction. Selective coil embolisation of the collateral vein resulted in an almost immediate and sustained improvement in his erections. Patients are often usually treated with invasive surgery. In this case, a multimodality imaging assessment was able to identify a single abnormal draining vein. Catheter venography and coil embolisation of the vein then allowed a minimally invasive treatment, which resulted in a significant improvement in ED.
Soft Tissue Lumps - A Case of Thrombosis of the Deep Dorsal Vein of the Penis
Case Report: Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction
The deep dorsal vein of the penis drains oxygen-depleted blood away from the glans, which is the external head of the sexual organ. From there, the deoxygenated blood must travel through the venal system until it arrives at the center of the circulatory system for resupply with oxygen in the lungs and recirculation through the left side of the heart. The vein is not the same as a similarly named artery, which transmits oxygenated blood to the glans. However, the deep dorsal vein of the penis runs a course close to its arterial counterpart.
Abnormal deep dorsal vein resulting in veno-occlusive erectile dysfunction
Dorsal vein thrombosis is a rare disease with pain and induration of the dorsal part of the penis. The possible causes comprise traumatism, neoplasms, excessive sexual activity, or abstinence. The differential diagnosis must be established with Sclerotizing lymphangitis and peyronies disease and doppler ultrasound is the imaging diagnostic technique of choice. Proper diagnosis and consequent reassurance can help to dissipate the anxiety typically experienced by the patients with this disease.
In human anatomy, the dorsal veins of the penis comprise the superficial dorsal vein of the penis and the deep dorsal vein of the penis. The superficial dorsal vein of the penis drains the prepuce and skin of the penis , and, running backward in the subcutaneous tissue , inclines to the right or left, and opens into the corresponding superficial external pudendal vein , a tributary of the great saphenous vein. In contrast to the deep dorsal vein, it lies outside Buck's fascia. It is possible for the vein to rupture, which presents in a manner similar to penile fracture.