5 DISCUSSION
Given human erection is a natural hydraulic phenomenon, insufficient
erection rigidity might also be a natural course in a male’s life if
erectile dysfunction (ED) is strictly defined as over 25 % of
sustaining an ability to attain or maintain a rigid erection for
satisfactory coitus. Particularly, the primary impotence will ruin one’s
life psychologically and physically, as in this
case.12 It, unfortunately, conspicuously does so in a
young man while active sex is granted.13 In primary
ED, the penile implant remains the final and golden solution for ED men.
A penile implant is an old strategy for providing necessary rigidity
that sustains no weaning, even in the era of oral medication for
treating elusive ED.14 As in the De Novo penile
fibro-vascular assembly, the sinusoids of the glans penis are
independent of that of the corpus spongiosum;15 after
that, a ligation of its marked drainage veins is a natural way for glans
enhancement.
Given just evidence can speak volumes and only practice can test the
truth, should medical practice be exceptional? Both penile venous
stripping and factual enhancement of the glans penis are not above
controversy; along with prostrated research, both strategies seem to
sustainably long-term benefits. In addition, the innovative penile
fibrous anatomy was explored several decades ago. This was an
anatomy-based penile implant that could prevent the traditional soft and
shrinkage glans penis.16 A further reiteration appears
necessary, conspicuously in the exclusively natural method, without the
necessity of artificial materials for enhancement purposes.