Figure 71

Figure 71 Arterial revascularization of the corpora may be applicable in some younger patients with localized lesions of the pudendal artery
due, for example, to a pelvic fracture. A longitudinal incision is made along the line of the lateral margin of the rectus abdominis muscle.
The inferior epigastric artery is mobilized and swung downwards through a tunnel to the dorsum of the penis. An anastomosis is created
between the inferior epigastric artery and either the dorsal penile artery alone or the conjoined dorsal penile artery and deep dorsal vein. In
the latter case, the deep dorsal vein is ligated distally to prevent glans hypervascularization