Corpus cavernosum resection surgical procedure steps

Under normal circumstances, infection of the corpus cavernosum may cause pain and distension during urination, which can usually be treated by corpus cavernosum excision surgery. The specific procedural steps are as follows:

1. Position the patient in the supine position and disinfect the genital and abdominal areas; drape with sterile towels.

2. Administer local anesthesia at the base of the penis and make a fish-mouth-shaped circumferential incision on the penile skin.

3. Enter through the incision to reach the penile fascia. Dissect and isolate the superficial dorsal vein, deep dorsal vein, dorsal artery, and nerves of the penis, then ligate and cut them separately.

4. Transect the corpus cavernosum while preserving the tunica albuginea adjacent to the urethra. Dissect the urethra distally and perform a transverse urethrotomy.

5. Make a horizontal incision at the distal end of the urethra to create upper and lower flaps. Irrigate the wound surface, and after confirming hemostasis, suture the severed ends of the corpus cavernosum.

6. Release the tourniquet, ensure complete hemostasis, and then close the skin with sutures.

7. Evert the mucosal edges of the upper and lower urethral flaps and suture them to the skin margins.

8. Insert a urinary catheter through the external urethral orifice into the bladder and secure it with sutures.

9. Dry the patient, help them dress, and conclude the surgery.

The procedure is recommended to be performed at a正规 hospital under the guidance of a qualified physician. Patients should refrain from sexual intercourse for at least one month postoperatively. If complications such as wound bleeding or other discomfort occur after surgery, seek prompt medical attention at a正规 hospital.