Skip to main content
SpringerLink
Log in

Hemodynamics of the penile erection and their clinical applications: Emphasis on medical management for erectile dysfunction

  • Articles
  • Published:
Sexuality and Disability Aims and scope Submit manuscript

Abstract

Better understanding of the mechanism of erection based on hemodynamics and the pharmacological action of intracavernosal agents have resulted in more insight into the diagnosis of various erectile disorders. Further experience with other diagnostic tests has led to the treatment of patients with erectile dysfunction by self-injection, venous ligation, arterial revascularization and other non-surgical means such as sexual counselling, oral and injectable medical therapy and external vacuum devices. This paper discusses the efficacy and role of these alternatives to the penile prosthesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Lue, T. and Tonagho, E. (1987). Physiology of erection and pharmacological management of impotence.Journal of Urology, 137 p. 829.

    PubMed  Google Scholar 

  2. Virag, R. (1982). Intracavernous injection of papaverine for erectile failure. Lancet,2 p. 938.

    Google Scholar 

  3. Abber, J. C., Lue, T. F. Orvis, B. R., McClure, R. D. & Williams, R. D. (1986). Diagnostic tests for impotence: Comparison of papaverine injection with penile-brachial index and nocturnal penile tumescence monitoring.Journal of Urology, 135 p. 923.

    PubMed  Google Scholar 

  4. Zorgniotti, A. W. and Lefleur, R. S. (1985). Auto-injection of corpos cavernosm with vaso-active drug combination for vasculogenic impotence.Journal of Urology, 133 p. 39.

    PubMed  Google Scholar 

  5. Lue, T., Hricak, H., Schmidt, R. A. and Tanagho, E. A. (1986). Functional evaluation of penile veins by cavernosography and papaverine induced erection.Journal of Urology, 135 p. 479.

    PubMed  Google Scholar 

  6. Bennett, A. H., Rivard, D. J., Blane, R. P., & Moran, M. (198). Reconstructive surgery for vasculogenic impotence.Journal of Urology, 136, p. 599.

  7. Elist, J., Jarman, W. & Edson, M. (1984). Evaluating medical treatment of impotence.Urology, 23 p. 374.

    PubMed  Google Scholar 

  8. Morales, A., Surridge, D. Marshall, P. & Fenenore, J. (1982). Non-hormonal pharmacological treatment of organic impotence.Urology, 128 p. 45.

    Google Scholar 

  9. Lee, M. (1983, December). Pharmacologic action of drugs may impair sexual function.Urology Times, p. 11.

  10. Witherington, R. (1985, March).The Osbon Erecaid System for management of erectile impotence. Presented at southeastern section of American Urological Association, Marco Island, FL.

  11. Nadig, P. (1986, May).Utility of the vacuum constriction device for men who have failed the penile prosthesis. Presented at the American Urological Association, New York.

  12. Gerow, F. J. (1986, May).The erectaid tumescence assistance device. Presented at the American Urological Association, New York.

  13. Adaikon, P. G., Kottedoda, S. R. & Ratnam, S. S. (1986). Is vasoactive intestinal polypeptide the principal transmitter involved in human penile erection?Journal of Urology, 135 p. 638.

    PubMed  Google Scholar 

  14. Benson, G. S. (1983). Penile erection: In search of a neuro-transmitter.World Journal of Urology, 1 p. 209.

    Google Scholar 

  15. Juenemann, K. P., Lue, T., Fournier, G. & Tanagho, E. (1986). Hemodynamics of papaverine and phentolamine induced penile erection.Journal of Urology, 136 p. 158.

    PubMed  Google Scholar 

  16. Goldstein, I., Siroky, M. B., Nath, R. L., et al. (1982). Vasculogenic impotence: Role of the pelvic steal test.Journal of Urology, 128 p. 300.

    PubMed  Google Scholar 

  17. Nelson, R. P. (1986). Pathophysiology, evaluation and treatment of erectile dysfunction.Urology Annual. E. Norwalk, CN: Appleton-Lange.

    Google Scholar 

  18. Juenemann, K.-P., Lue, T., Luo, J.-A., Benowitz, N. L., Abozeid, M. & Tanagho, E. (1987). Effect of cigarette smoking on penile erection.Journal of Urology, 138 p. 438.

    PubMed  Google Scholar 

  19. Krane, R. J. (1986). Sexual function and dysfunction. In Walsh, et al. (Eds.),Campbell's Urology, Philadelphia: W. B. Saunders.

    Google Scholar 

  20. Carson, C., Poretta, T., Bertram, R., et al. (1985, March).The aldose reductase inhibitor in the treatment of diabetic impotence. Presented at southeastern section, American Urological Association.

  21. Buse, J. (1987, March).Personal communication. Charleston, S. C.

  22. Lue, T. (1985, October).Update on impotence and infertility. University of California at San Francisco post-graduate seminar. San Francisco, CA.

Download references

Author information

Authors and Affiliations

  1. the Department of Urology, Medical University of South Carolina, 29425, Charleston, S.C.

    Robert P. Nelson M.D.

Authors
  1. Robert P. Nelson M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nelson, R.P. Hemodynamics of the penile erection and their clinical applications: Emphasis on medical management for erectile dysfunction. Sex Disabil 8, 73–86 (1987). https://doi.org/10.1007/BF01102432

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01102432

Keywords

Search

Navigation