Abstract
Corpus cavernosum electromyography (EMG) and its evolution: single potential analysis of cavernous electrical activity (SPACE) seem to be promising diagnostic methods in the evaluation of erectile dysfunction and smooth muscle integrity [4].
Our study concentrates on the role of EMG in the evaluation of corpus cavernosum smooth muscles, using it as a noninvasive technique for demonstrating autonomic erectile dysfunction through their influence on recording SPACE and consequent proper selection of patients for different therapeutic modalities.
A total of 80 male patients were examined for the feasibility of transcutaneous registration of cavernous electrical activity with a 2-channel electrophysiological unit (Evamatic 2000, Dantec) with two surface electrodes bilaterally placed on the penile shaft. Ten patients had normal erectile function, but complained of other urological symptoms. They served as the controls for normal electrical activity. Fifty patients with organic impotence of nonvascular (neurogenic) or vascular (venogenic, arteriogenic) aetiologies were subjected to EMG in both the flaccid and the erect state. On the basis of the EMG patterns the patients were divided into the following groups: 34 patients having normal tracing in both the flaccid and the erect state, and 21 patients showing abnormal patterns of waves with evidence of autonomic neurogenic dysfunction and incomplete smooth muscle relaxation. Of the latter 4 had long-standing diabetes mellitus and 4 had spinal injuries.
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Blanco, R., Saenz De Te Gada, I., Goldstein, I., Krane, R. J. et al.: Dysfunctional penile cholinergic nerve in diabetic impotent men.J. Urol., 144, 278 (1990).
Mareno, A. P., Campos de Carvalho, A. C., Christ, G. J., Melman, A., Herzberg, E. L., Spray, D. D.: Junctions between human corpus cavernosum smooth muscle cells in primary culture: Electrophysiological and biochemical characteristics.Int. J. Impot. Res. (Suppl. 2),2, 55 (1990).
Stief, C. G., Thon, W. F., Djamilian, M. et al.: Transcutaneous registration of cavernous smooth muscle electrical activity: Noninvasive diagnosis of neurogenic autonomic impotence.J. Urol., 147, 47 (1992).
Stief, C. G., Djamilian, M., Truss, M. C. et al.: Prognostic factors of the postoperative outcome of penile venous surgery for venogenic erectile dysfunction.J. Urol., 151, 880 (1994).
Wagner, G., Gerstenberg, T., Levin, R. J.: Electrical activity of corpus cavernosum during flaccidity and erection of the human penis: A new diagnostic method?J. Urol., 142, 723 (1989).
Wespes, E., Goes, P. M., Schiffimann, S. et al.: Computerized analysis of smooth muscle fibres in potent and impotent patients.J. Urol., 146, 1015 (1991).
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Aggour, A., Mostafa, H. & El-Shawaf, H. Evaluation of the role of corpus cavernosum electromyography as a noninvasive diagnostic tool in male erectile dysfunction. International Urology and Nephrology 30, 75–79 (1998). https://doi.org/10.1007/BF02550282
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DOI: https://doi.org/10.1007/BF02550282