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The Penis Anatomy

The anatomy of the penis is complex. It is comprised primarily of two cylinders of sponge-like vascular tissue that fill with blood to create an erection.

A third cylinder is the urethra, a tube that carries the urine and the ejaculate. The knobby head of the penis is called the glans.

Blood flows to the penis by two very small arteries that come from the heart and then the aorta. These arteries are the same size as the arteries to your finger.

The main problem that causes impotence (erectile dysfunction or ED) is that the lining of these blood vessels becomes dysfunctional and the blood can not get to the penis. This known as Endothelial Dysfunction, or the real “ED.”

The other major problem is leakage of blood from the penis into the veins around the penis, which is called a venous leak. This is very common and is similar to a hole in a tire. The larger the hole, the more air that needs to be pumped into the tire to keep it hard!

The creation of an erection is an extremely complicated cascade of events that requires many different things to happen. There are numerous chemical transmitters involved in creating an erection including epinephrine, norepinephrine, acetylcholine, prostaglandins and nitric oxide.

The exact mechanism by which erection occurs is still unclear but we do know that the neural input from the brain is extremely important. Reflex erections, as seen in people with cord damage such as paraplegics, are often poor erections and not sustainable for prolonged periods of intercourse.

An erection occurs when the nervous system activates a rapid increase in blood flow. The vascular muscle in the spongy area inside the penis becomes engorged with blood and the outflow of blood is cut off.

An erection can occur as a reflex as we see in spinal cord patients, or can be caused by psychogenic stimulation (originating in the mind). Numerous sexual stimuli are processed by the brain and transmitted to the penis via the nervous system.

In order to increase the size of an erection, there must be an increase in blood flow to the penis and, at the same time, the blood has to be prevented from leaving the penis.

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