Chi Can Huynh
The Male Clinic, Australia
Biography
Since 1986, Geng-Long Hsu, formerly a clinical professor at China Medical University, has developed and refined a series of penile reconstructive surgeries, including penile venous surgery, corporoplasty and penile implantation, in tandem with advanced the penile anatomy and erection physiology. In 1993, he was promoted to the first Chair of Urology at Taiwan Adventist Hospital; he held that position until 1997 and then served as vice-superintendent of PoJen General Hospital until 2001. From 2001 to 2003, Dr. Hsu was a director of microsurgery potency reconstruction at Taipei Medical University Hospital. Afterward, he established his private practice—Hsu’s Andrology—which serves as both a clinical practice and research center. In 2012, Dr. Hsu’s latest method of penile venous stripping, administered via an ambulatory basis, was granted a USPTO patent. He hopes this surgery will be studied and practiced worldwide. I, Yi-Wei Pai, am pleasurable to conduct this report in fellowship.
Abstract
Although penile implantation remains a final solution for patients with refractory impotence in many urologists, undesirable postoperative effects, including the development of pale appearance, size reduction and cold sensation of the glans penis in particularly the penile size itself, remain problematic. We sought to report an innovative surgical method designed to avoid these problems. From 2003 to 2017, 103 consecutive patients received a malleable penile implant. Of these 68 men (the enhancing group, after 2008) were also treated with venous ligation of the retrocoronal venous plexus, deep dorsal vein, and cavernosal veins in addition to standard penile implant. The remaining 35 men formed the control group, treated with only a penile implant. Follow-up ranged from 0.5 to 14.5 (8.7±1.0) years. Although preoperative glanular dimension did not differ significantly between the two groups, significant respective difference at one day and one year postoperatively was found in the glanular circumference (128.6±6.8 mm versus 115.5±7.1 mm and 131.6±7.2 mm versus 100.3±7.3 mm; both ï¼…<0.05), radius (38.9±2.7 mm versus 37.0±2.8 mm and 41.7±2.6 mm versus 33.7±2.9 mm; latter ï¼…<0.01), and satisfaction rate (95.8% versus 53.2%, ï¼…<0.01) as well. Inconclusive analysis of the penile copulatory portion ensued resulting from difficulty in practical measurement on this portion. Based on our results, selective venous ligation of penile erection related veins appears to enhance the glans penis dimension and probable the penile copulatory portion in implant patients: