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A comparison of nocturnal penile tumescence and penile response to erotic stimulation during waking states in comprehensively diagnosed groups of males experiencing erectile difficulties.

Abstract

The erectile responses of 13 nondysfunctional males and 48 dysfunctional males were compared during Nocturnal Penile Tumescence (NPT) and during exposure to erotic videotapes. The results showed distinct patterns of NPT and daytime responding that could differentiate the various subgroups: those displaying (i) no dysfunction; (ii) vasculogenic erectile dysfunction; (iii) high risk for erectile dysfunction (organic and psychogenic); (iv) psychogenic dysfunction; reactive to erotica; and (v) psychogenic dysfunction; nonreactive to erotica. Subjects participating in this study underwent a comprehensive medical and psychological screening to place them in each subgroup. The penile circumference response to erotic stimuli used in conjunction with NPT response appeared useful in differentiating subgroups of erectile dysfunction and suggested the need for further diagnostic refinement in this area. The majority of vasculogenic dysfunctional subjects experienced greater erection responses during exposure to erotic stimulation than during NPT; several of these subjects achieved almost full erections in waking states but were practically flaccid at night. The discussion covers diagnostic and therapeutic implications.

Authors+Show Affiliations

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Brown University, Providence, Rhode Island.

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Source

Archives of sexual behavior 17:4 1988 Aug pg 333-48

MeSH

Adult
Erectile Dysfunction
Erotica
Humans
Male
Middle Aged
Penile Erection
Sleep, REM
Wakefulness

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

3421827

Citation

TY - JOUR T1 - A comparison of nocturnal penile tumescence and penile response to erotic stimulation during waking states in comprehensively diagnosed groups of males experiencing erectile difficulties. AU - Wincze,J P, AU - Bansal,S, AU - Malhotra,C, AU - Balko,A, AU - Susset,J G, AU - Malamud,M, PY - 1988/8/1/pubmed PY - 1988/8/1/medline PY - 1988/8/1/entrez SP - 333 EP - 48 JF - Archives of sexual behavior JO - Arch Sex Behav VL - 17 IS - 4 N2 - The erectile responses of 13 nondysfunctional males and 48 dysfunctional males were compared during Nocturnal Penile Tumescence (NPT) and during exposure to erotic videotapes. The results showed distinct patterns of NPT and daytime responding that could differentiate the various subgroups: those displaying (i) no dysfunction; (ii) vasculogenic erectile dysfunction; (iii) high risk for erectile dysfunction (organic and psychogenic); (iv) psychogenic dysfunction; reactive to erotica; and (v) psychogenic dysfunction; nonreactive to erotica. Subjects participating in this study underwent a comprehensive medical and psychological screening to place them in each subgroup. The penile circumference response to erotic stimuli used in conjunction with NPT response appeared useful in differentiating subgroups of erectile dysfunction and suggested the need for further diagnostic refinement in this area. The majority of vasculogenic dysfunctional subjects experienced greater erection responses during exposure to erotic stimulation than during NPT; several of these subjects achieved almost full erections in waking states but were practically flaccid at night. The discussion covers diagnostic and therapeutic implications. SN - 0004-0002 UR - https://www.unboundmedicine.com/medline/citation/3421827/A_comparison_of_nocturnal_penile_tumescence_and_penile_response_to_erotic_stimulation_during_waking_states_in_comprehensively_diagnosed_groups_of_males_experiencing_erectile_difficulties L2 - http://www.nlm.nih.gov/medlineplus/erectiledysfunction.html ER -