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Bilateral V-Y advancement flaps were designed based on the internal pudendal artery perforators (Figure 6).
One of them developed priapism due to pseudo-aneurysm and arteriovenous fistula of internal Pudendal artery.
Arterial vascularization of the penis in the rabbit was demonstrated to be supplied by the penile artery wich arised from the internal pudendal artery which possessed two branches such as the deep artery of the penis, the dorsal artery of the penis, whereas the ramus praeputialis arised from the external pudendal artery and blood drainage from the penis is done by external pudendal vein and internal pudendal vein and venous blood in deep vein, bulbar vein and dorsal vein enter to internal pudendal vein and then internal iliac and finally coudal vena cava and the external pudendal vein blood prepuce, skin, corpus spongiosum and muscles and free part penis through dorsal vein drainage.
Allahdadi said: "PDE5I may be useful in the treatment of female sexual dysfunction caused by inadequate blood supply through the internal pudendal artery.

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