Complete Penile Corporeal Septation

Abstract

In man the penile corpora cavernosa have vascular continuity via channels passing through the penile septum. To our knowledge we report the first case of a complete penile septum resulting in corporeal vascular dissociation. The patient presented with primary sexual dysfunction. CASE REPORT A 38-year-old white man presented with a lifelong history of sexual dysfunction described as erections that were never fully rigid. Sexual intercourse was suboptimal because of buckling of the erection. Medical history and physical examination were unremarkable. A Rigiscan* evaluation demonstrated 3 or 4 erectile episodes with reasonable tumescence and duration but rigidity was less than 70%. Injection of 15 mcg. prostaglandin El into the right corporeal body resulted in full rigidity of the right corporeal body only and left curvature of the penis while the left corporeal body remained flaccid. The left corporeal body was then injected with prostaglandin El, resulting in a full straight erection that exceeded those previously experienced. Duplex ultrasonography demonstrated unilateral tumescence of the corpora after injection of prostaglandin El (fig. 1 ). Cavernosal -arterial flow velocity -was normal and increased only on the injected side. Cavernosography revealed unilateral corporeal opacification when contrast medium was