IMMEDIATE IMPOTENCE AFTER PENETRATING PERINEAL TRAUMA - RESTORATION OF ERECTIONS WITH PENILE ARTERY REVASCULARIZATION, CORPUS CAVERNOSUM ANEURYSM REPAIR, AND DEEP PENILE VENOUS LIGATION

Erectile dysfunction can result from blunt or penetrating pelvic or pe rineal trauma. Rupture of the corpora cavernosa leading to loss of the veno-occlusive mechanism and penile artery occlusion have been found in these patients, We present a case of immediate loss of erectile fun ction after penetrating perineal trauma resulting in corpus cavernosum rupture and traumatic occlusion of multiple arteries in the hypogastr ic-cavernous bed. Conservative management of the corpus injury resulte d in post-traumatic aneurysmal dilation at the site of injury with ven ous leakage from aberrant veins. Penile arterial revascularization and aneurysm repair with deep penile venous ligation resulted in near-com plete return of normal erectile function.