Fig. 4
From: To the editor-an update on endovascular treatment of venogenic erectile dysfunction
A A 3-F stiffened cannula out of a 4-F micropuncture set (Cook, U.S.A.) is inserted over the guide wire after the needle has been removed with its tip positioned intravenously in close proximity to the radix penis. Usually, a stiff dilator is more advantageous compared to a floppy one due to roughness of the penile fascia (Buck’s fascia). The introducer hub is connected to a 3-way stopcock with a short connecting tube (Discofix, Braun, Germany). B Venogram demonstrates venous leak (arrows) via periprostatic and internal pudendal veins. C Tubing is flushed with 5% glucose solution (light blue 3 cc syringe) and subsequently venous embolization is performed (violet 3 cc syringe) using a mix of N-butyl-2-cyanoacrylate glue (Glubran II, GEM, Italy) and ethiodized oil (Lipiodol, Guerbet, Switzerland), as exemplarily demonstrated. D Distribution of embolization material via periprostatic and internal pudendal veins (arrows)