Figure 3: Photos of penile venous stripping. A). A circumferential skin incision (white arrow) is initiated after the acupuncture assisted local anesthesia works. B). The visibility of the deep dorsal vein (arrows) can be enhanced by a milking pressure applied on the sinusoids. is managed C). The DDV is managed from the distal portion (arrow). Likewise the cavernosal veins (CVs) are stripped. D). It is managed to the penile base (arrow) while a median longitudinal pubic wound is made. E). The branch of deep-seated CV is carefully managed. F). Both trunk of DDV (1) and CVs (2,3) serve as a guide for venous stripping until the infra-pubic angle is met.