Evaluation of the Cavernous Occlusive System

  • C. G. Stief


Recent experimental studies show that the smooth muscle of the cavernous tissue plays a key role in the hemodynamics of penile erection [5, 8]. A fully rigid erection requires, in addition to cavernous relaxation, a large reduction in the cavernous outflow [2], which is brought about both by the passive compression of venous cushions between the cavernous sinusoids and the tunica albuginea [2], and the squeezing of the obliquely running venae perforantes within the tunica albuginea [7]. Therefore, excessive cavernous outflow can be caused by incomplete cavernosal relaxation, e.g., by cavernous fibrosis due to diabetes, or by disturbances of the squeezing mechanism within the tunica albuginea, or by both.


Penile Erection Tunica Albuginea Venous Leakage Cavernous Body Deep Dorsal Vein 
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  1. 1.
    Ebbehoj J, Wagner G (1979) Insufficient penile erection due to abnormal drainage of cavernous bodies. Urology 13: 507PubMedCrossRefGoogle Scholar
  2. 2.
    Fournier GR, Jünemann KP, Lue TF, Tanagho EA (1987) Mechanisms of venous occlusion during canine penile erection. J Urol 137: 163PubMedGoogle Scholar
  3. 3.
    Gilbert P, Stief CG (1987) Spongiosolysis: A new surgical treatment of impotence caused by distal venous leakage. J Urol 138: 784Google Scholar
  4. 4.
    Jevtich MJ (1980) Importance of penile arterial pulse sound examination in impotence. J Urol 124: 820PubMedGoogle Scholar
  5. 5.
    Jünemann KP, Lue TF, Fournier GR, Tanagho EA (1986) Hemodynamics of papaverin-and phentolamin-induced erections. J Urol 136: 158Google Scholar
  6. 6.
    Kölliker A (1852) Das anatomische und physiologische Verhalten der cavernösen Körper der Sexualorgane. Verh Phys-Med Ges Würzburg 2: 118Google Scholar
  7. 7.
    Lierse W (1982) Blood vessels and nerves of the human penis. Urol Int 37: 145PubMedCrossRefGoogle Scholar
  8. 8.
    Lue TF, Takamura T, Umraya M., Schmidt RA, Tanagho EA (1984) Hemodynamics of canine corpora cavernosa during erection. Urology 24: 347PubMedCrossRefGoogle Scholar
  9. 9.
    Stief CG, Wetterauer U (1989) Quantitative and qualitative analysis of dynamic cavernosographies in erectile dysfunction due to venous leakage. Urology 34: 252PubMedCrossRefGoogle Scholar
  10. 10.
    Stief CG, Diederichs W, Benard F, Bosch R, Lue TF, Tanagho EA (1988) The diagnosis of venogenic impotence: dynamic or pharmacologic cavernosometry? J Urol 140: 1561PubMedGoogle Scholar
  11. 11.
    Stief CG, Benard F, Diederichs W, Bosch R, Lue TF, Tanagho ET (1988) The rationale for pharmacologic cavernosography. J Urol 140: 1564PubMedGoogle Scholar
  12. 12.
    Stief CG, Bähren W, Gall H, Scherb W (1988) Functional evaluation of penile hemodynamics. J Urol 139: 734PubMedGoogle Scholar
  13. 13.
    Virag R, Legman M, Zwang G, Dermange H (1979) L’utilisation de l’erection passive dans l’exploration de l’impuissance d’origine vasculaire. Contraception Fertilite Sexualite 7: 707Google Scholar

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© Springer-Verlag Berlin Heidelberg 1991

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  • C. G. Stief

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