Surgery for crural venous leakage.

A procedure for congenital or acquired crural venous leakage is described. A 3-in.-long inguinoscrotal incision is made about 1 in. lateral to the penis. The suspensory ligament is incised, and the penis is detached from the pubic bone. The deep dorsal vein is resected to expose the hilum of the penis. The entrance of the cavernous artery to the corpus cavernosum is identified. The paired dorsal arteries and nerves, cavernous arteries and nerves, and the bulb of the corpus spongiosum are dissected off the crura. Two umbilical tapes are used to ligate the proximal portion of each crus proximal to the entrance of the cavernous artery to shut off the venous leakage.