My views about the applied anatomy on the penis and the physiopathology of erection.

From 1964 till 1977 I had the opportunity to make a study on circa 300 cadaver-penises (ROMANIA). My goal was to begin the surgical treatment of the organic impotency. Parallel with the investigations in mortuo (Table I), I began the explorations in vivo: clinical, general; and especially: "local" exploration of the executive organ, the penis; the methods used are enumerated in table II. The aims were: a) the diagnosis and b) the possibility of surgical treatment of organic impotence. After 1977, in west Germany, I could continue only my clinical work; (diagnosis and surgery). Till now I examined circa 5000 men with or without potency troubles; I could perform circa 1900 operations, in the last 9 years almost only with penile implants. I developed my own patterns. In this way, I could discover in mortuo and then confirm in vivo: The importance of the penile structures for a true potency; I described a "virile morphogram of the penis" (table III). The frequency of the anatomical variations --New, unknown causes of organic impotence at the level of the penis. Thus I described as first in 1975 (in rumanian) the "leakage factor" of the corpora cavernosa; later I described the frequency of fibroses in the corpus cavernosum penis (CCP). I could demonstrate that "the fixed impotency", especially in ageing men, is almost always organic (somato-psychic). Permanently improving the surgical proceeding helped me to reduce to a minimum the always possible complications. For instance: in the last 9 years, in circa 1400 operations with penile implants I had no infection more. As a rule a surgical proceeding must succeed, if possible, "from the first and for ever". It is for that, the penile implants have the most important place in the treatment of organic impotence, (not only as "ultima ratio").