The CLiRpath system

I am interested in the use of the the Silverhawk in Urological applications, esp related to ED.

The Use of SilverHawk for ED related to arterial flow effected by PAD or simular medical issues: Blood supply of the penis comes from a main blood vessel that goes down the back of the body called the aorta. The aorta then branches to an internal and external iliac artery, and finally a pudendal artery passes underneath the pelvic bone and terminates in the common penile artery. When sitting and especially when riding a bicycle, a man can cut off blood circulation to this common penile artery. When this artery is damaged, arterial insufficiency and subsequent erectile dysfunction occur. A cavernosal artery supplies blood into each of the erectile bodies of the penis.
HERE’S THE PROBLEM THAT WOULD NOT BE ADDRESSED WITH THE SILVERHAWK PROCEDURE: The underlying mechanism of an erection is the corporo-veno-occlusive mechanism. When the veins cannot become compressed or blocked, an erection cannot be maintained. Without this very sensitive mechanism, blood leaks prematurely from the penis and produces the loss of an erection. This type of erectile dysfunction is called a venous leak.

ARTERIAL SUPPLY
The arterial supply to the erectile apparatus originates from superficial and deep arterial systems. The superficial arterial system arises as two symmetrically arranged vessels arising from the inferior external pudendal artery (a branch of the femoral artery). Each of these vessels divides inito a dorsolateral and ventrolateral branch, which supply the skin o fhte shaft and prepuce. At the coronal sulcus there is a communication with the deep arterial system. The deep arterial system arises from the internal pudendal artery, which is the final branch of the anterior trunk of the internal iliac artery. This passes dorsal to the sacrospinous ligament at the level of the ischial spine and passes through Alcock’’s canal. As it emerges, it divides into the perineal and penile arteries, running deep to the superficial transverse perineal muscle and pubic symphysis. It pierces the urogenital diaphragm meddial to the inferior ramus fo the ischium close to the bulb of the urethra and then divides into three branches——the bulbourethral artery, the urethral artery and the cavernous artery or deep artery of the penis; it terminates as the deep dorsal artery of the penis. An accessory internal pudendal artery may arise from the obturator, inferior vesical or superior vesical and may be damaged during radical prostatectomy in as many as 50% of patients. The bulbo-urethral artery supplies the bulb of the urethra, the corpus spongiosum and the glans penis. It may arise from the cavernous, dorsal or acessory pudendal arteries. The urethral artery commonly arises as a separate branch form the penile artery, but may arise from the artery to the bulb, the cavernous or the dorsal artery. It runs on the ventral surface of the corpus spongiosum beneath the tunica albuginea.
The cavernous artery (deep artery fo the penis) usually arises form the penile artery, but may originate from the accessory pudendal. It runs lateral to the cavernous vein along he dorsomedial surface of the crura to enter the erectile tissue where the two corpora fuse; it then continues in the center of the corpora cavernosa.
The dorsal artery of the penis is the termination of the penile artery; it runs over the resepctive crus and then along the dorsolateral surface of the penis as far as the glans between the dorsal vein medially and dorsal nerve of the penis laterally. This artery has tortuous configuration to accommodate for elongation during erection. It may arise from the accessory internal pudendal artery within the pelvis, and thus may be at risk during radical pelvic surgery. On its way to the glans, it gives off circumflex arteries to supply the corpus spongiosum. Distally, the dorsal artery runs in a ventrolateral position near the sulcus prior to entering the glans. The frenular branch of the dorsal artery curves around each side of the distal shaft to enter the frenulum and glans ventrally.

I see a use for your product in the Tx of ED...would volunteer for clinical trial.

Wayne Scott RNc (psychiatry)
1604 Arcadia Drive #311
Jacksonville, Fl
32207
Phone 904 448 5505