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.