Skip to main content
Log in

Papaverine plus prostaglandin E1 versus prostaglandin E1 alone for intracorporeal injection therapy

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Purpose

A study comparing intracorporeal injection of prostaglandin E1 (one-drug solution) and papaverine plus prostaglandin E1 (2-drug solution) for treatment of impotence.

Materials and methods

A total of 100 impotent patients had intracorporeal injections of the one-drug and 2-drug solution alternatively in 3 sessions. The quality and duration of erections were assessed.

Results

Seventy-five per cent of the patients developed full erection with the 2-drug solution compared to 50% with the one-drug solution. The average duration of erections was 60 minutes and 45 minutes, respectively. The complication rate was higher for the 2-drug solution.

Conclusion

Papaverine plus prostaglandin E1 is superior to prostaglandin E1 alone for treatment of impotence, but has a higher rate of complications. Intracavernous injection of vasoactive drugs is a very effective and important way for treatment of impotence. Papaverine plus prostaglandin E1 had been used for treatment of impotence alone or combined. A blind study was done to compare efficiency and complication rates of intracavernous injection of papaverine plus prostaglandin E1 (2-drug solution) with prostaglandin E1 alone.

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

Access this article

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Althof, S. E., Turner, L. A., Levine, S. B., Risen, C., Kursh, E., Bodner, D., Resnick, M.: Why do so many people drop out from auto-injection therapy for impotence?J. Sex. Marital. Ther., 15, 121 (1989).

    PubMed  CAS  Google Scholar 

  2. Bennett, A. H., Carpenter, A. J., Barada, J. H.: An improved vasoactive drug combination for a pharmacological erection program.J. Urol., 146, 1564 (1991).

    PubMed  CAS  Google Scholar 

  3. Brindley, G. S.: Cavernosal alpha-blockade: A new technique for investigating and treating erectile impotence.Br. J. Psychiatr., 43, 332 (1983).

    Article  Google Scholar 

  4. Floth, A., Schramek, P.: Intracavernous injection of prostaglandin E1 in combination with papaverine: Enhanced effectiveness in comparison with papaverine plus phentolamine and prostaglandin E1 alone.J. Urol., 145, 56 (1991).

    PubMed  CAS  Google Scholar 

  5. Hedlund, H., Anderson, K.-E.: Contraction and relaxation induced by some protanoids in isolated human penile erectile tissue and cavernous artery.J. Urol., 134, 245 (1985).

    Google Scholar 

  6. Lakin, M. M., Mondague, D. K., Vander Brug Medendorp, S., Tesar, L., Schover, L. R.: Intracavernous injection therapy, analysis of results and complications.J. Urol., 143, 1138 (1990).

    PubMed  CAS  Google Scholar 

  7. Levine, S. B., Althof, S. E., Turner, L. A., Risen, C. B., Bodner, D. R., Kursh, E. D., Resnick, M. I.: Side effects of self-administration of intracavernous papaverine and phentolamine for the treatment of impotence.J. Urol., 141, 54 (1989).

    PubMed  CAS  Google Scholar 

  8. Sidi, A. A., Chen, K. K.: Clinical experience with vasoactive intracavernous pharmacotherapy for the treatment of impotence.World J. Urol., 5, 156 (1987).

    Article  Google Scholar 

  9. Shenfeld, O., Hanani, J., Shalhaw, A., Vardi, Y., Goldwasser, B.: Papaverine-phentolamine and prostaglandin E1 versus papaverine-phentolamine alone for intracorporeal injection therapy: A clinical double blind study.J. Urol., 154, 1017 (1995).

    Article  PubMed  CAS  Google Scholar 

  10. Von-Heyden, B., Donatucci, C. F., Kaula, N., Lue, T. F.: Intracavernous pharmacotherapy for impotence: Selection of appropriate agent and dose.J. Urol., 149, 1288 (1993).

    PubMed  CAS  Google Scholar 

  11. Zentgraf, M., Ludiving, G., Ziegler, M.: How safe is the treatment of impotence with intracavernous autoinjection?.Eur. Urol., 16, 165 (1989).

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zaher, T.F. Papaverine plus prostaglandin E1 versus prostaglandin E1 alone for intracorporeal injection therapy. International Urology and Nephrology 30, 193–196 (1998). https://doi.org/10.1007/BF02550576

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02550576

Keywords

Navigation