Tags

Type your tag names separated by a space and hit enter

The clinical assessment of erectile dysfunction: a comparison of nocturnal penile tumescence monitoring and intracavernosal injections.
Int J Impot Res. 1995 Jun; 7(2):123-30.IJ

Abstract

One hundred and fifty-nine men with erectile dysfunction were assessed with Rigiscan monitoring of nocturnal penile tumescence (NPT) and response to intracavernosal injections (ICI) of papaverine or prostaglandin E1. A satisfactory NPT, suggestive of psychogenic causation, was recorded in 58%, whereas 15% had clearly impaired NPT. There was a significant association between presence of vascular disease, diabetes and impairment of NPT. For ICI, only 32% showed a satisfactory response, with 48% clearly impaired. Of the 92 men with satisfactory NPT, 40% HAD clearly impaired and 41% satisfactory ICI response. Of the 51 men with satisfactory ICI response, 8% had clearly impaired and 74.5% satisfactory NPT. There was no association between ICI response and history of vascular disease. We conclude that monitoring of NPT by Rigiscan, and without sleep monitoring, is a valuable diagnostic procedure. In contrast, because of the high proportion of false negative results. ICI monitoring is of very limited diagnostic value. The explanation for false negative ICI responses, however, could prove to be of considerable theoretical and clinical importance.

Authors+Show Affiliations

MRC Reproductive Biology Unit, Royal Edinburgh Hospital.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

7496441

Citation

Bancroft, J, and N Malone. "The Clinical Assessment of Erectile Dysfunction: a Comparison of Nocturnal Penile Tumescence Monitoring and Intracavernosal Injections." International Journal of Impotence Research, vol. 7, no. 2, 1995, pp. 123-30.
Bancroft J, Malone N. The clinical assessment of erectile dysfunction: a comparison of nocturnal penile tumescence monitoring and intracavernosal injections. Int J Impot Res. 1995;7(2):123-30.
Bancroft, J., & Malone, N. (1995). The clinical assessment of erectile dysfunction: a comparison of nocturnal penile tumescence monitoring and intracavernosal injections. International Journal of Impotence Research, 7(2), 123-30.
Bancroft J, Malone N. The Clinical Assessment of Erectile Dysfunction: a Comparison of Nocturnal Penile Tumescence Monitoring and Intracavernosal Injections. Int J Impot Res. 1995;7(2):123-30. PubMed PMID: 7496441.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The clinical assessment of erectile dysfunction: a comparison of nocturnal penile tumescence monitoring and intracavernosal injections. AU - Bancroft,J, AU - Malone,N, PY - 1995/6/1/pubmed PY - 1995/6/1/medline PY - 1995/6/1/entrez SP - 123 EP - 30 JF - International journal of impotence research JO - Int J Impot Res VL - 7 IS - 2 N2 - One hundred and fifty-nine men with erectile dysfunction were assessed with Rigiscan monitoring of nocturnal penile tumescence (NPT) and response to intracavernosal injections (ICI) of papaverine or prostaglandin E1. A satisfactory NPT, suggestive of psychogenic causation, was recorded in 58%, whereas 15% had clearly impaired NPT. There was a significant association between presence of vascular disease, diabetes and impairment of NPT. For ICI, only 32% showed a satisfactory response, with 48% clearly impaired. Of the 92 men with satisfactory NPT, 40% HAD clearly impaired and 41% satisfactory ICI response. Of the 51 men with satisfactory ICI response, 8% had clearly impaired and 74.5% satisfactory NPT. There was no association between ICI response and history of vascular disease. We conclude that monitoring of NPT by Rigiscan, and without sleep monitoring, is a valuable diagnostic procedure. In contrast, because of the high proportion of false negative results. ICI monitoring is of very limited diagnostic value. The explanation for false negative ICI responses, however, could prove to be of considerable theoretical and clinical importance. SN - 0955-9930 UR - https://www.unboundmedicine.com/medline/citation/7496441/The_clinical_assessment_of_erectile_dysfunction:_a_comparison_of_nocturnal_penile_tumescence_monitoring_and_intracavernosal_injections_ L2 - http://www.diseaseinfosearch.org/result/9682 DB - PRIME DP - Unbound Medicine ER -