CASE REPORTS 255decline in erectile ability experienced by the patient over the period of time since the embolization procedure. Venous leakage is due to a failure of relaxation of corporeal smooth muscle. Excision or embolization of leaking veins does not heal the underlying cause and as a result further leakage is likely to occur. This is, to our knowledge, the first description of a corpora spongiosal shunt following penile venous ablation and represents a possible reason for progressive failure of this method. This also stresses the importance of examining the glans of the penis as a potential shunt site on follow-up caversonography.
References1 Williams G, Mulcahy hlJ, Hartnell G et al. The diagnosis and treatment of venous leakage, a curable cause of impotence. Br J Uroll988: 61: 151-5 2 Schwartz AN, Lowe M, Harley JD et al. Preliminary report: penile vein occlusion therapy: selection criteria and methods used for the transcatheter treatment of impotence caused by venous-sinusoidal incompetence. J Urol 1992: 148: 3 Sidhu PS, Agarwal S, Zafar F et al. Venogenic impotence: a combined radiological and surgical approach using coil emboliation. Curdiovasc
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