CPT® Code 37790

A penile venous occlusive procedure is a surgical intervention aimed at addressing issues related to penile venous leakage, which can lead to erectile dysfunction. This condition, known as penile veno-occlusive insufficiency, occurs when there is an imbalance between the outflow and inflow of blood in the penis, resulting in inadequate blood storage within the corpora cavernosa. For an erection to be sustained, it is essential that a sufficient volume of blood is retained; however, when there is excessive venous outflow, it leads to insufficient rigidity and erectile dysfunction. The causes of veno-occlusive dysfunction can vary, including trauma to the area or congenital disorders that affect the vascular structure of the penis. During the procedure, penile venous ligation is performed specifically on the cavernosal and crural veins, which are the veins responsible for draining blood from the penis. Utilizing a microsurgical technique, the surgeon carefully exposes the veins that are leaking and dissects them from the surrounding tissue to minimize damage to adjacent structures. Special care is taken to identify and protect the dorsal arteries and nerves to preserve erectile function. Each leaking vein is then individually ligated with sutures to prevent further blood loss. After the ligation is completed, the penis is monitored for signs of erection, indicating the success of the procedure. Finally, the surgical wounds are closed in a layered manner to promote optimal healing.