Skip to main content

Audiovisual Sexual Stimulation During Hemodynamic Evaluation of the Penis

  • Chapter
  • First Online:
Penile Color Duplex-Doppler Ultrasound in Erectile Dysfunction Diagnosis and Management

Abstract

Audiovisual sexual stimulation (AVSS) is an integral part of the history of erectile function evaluation and is an important feature of penile Doppler ultrasound (PDU). It has been postulated that AVSS enhances parasympathetic tone and leads to a more rigid erection after intracavernous injections of vasoactive agents in the PDU setting. There are studies suggesting that AVSS might also lead to considerably superior penile hemodynamic parameters by combining and might eventually change final PDU diagnoses. The aim of this chapter is to discuss the most relevant aspects of AVSS and its potential benefits during PDU examinations.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Opsomer R-J, Wese F-X, Van Cangh P. Visual sexual stimulation plethysmooraphy: complementary test to nocturnal penile plethysmooraphy. Urology. 1990;35(6):504–7.

    Article  CAS  PubMed  Google Scholar 

  2. Cera N, Di Pierro ED, Ferretti A, Tartaro A, Romani GL, Perrucci MG. Brain networks during free viewing of complex erotic movie: new insights on psychogenic erectile dysfunction. PLoS One. 2014;9(8):e105336.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Stoleru S, Gregoire M-C, Gerard D, Decety J, Lafarge E, Cinotti L, et al. Neuroanatomical correlates of visually evoked sexual arousal in human males. Arch Sex Behav. 1999;28(1):1–21.

    Article  CAS  PubMed  Google Scholar 

  4. Kockott G, Feil W, Ferstl R, Aldenhoff J, Besinger U. Psychophysiological aspects of male sexual inadequacy: results of an experimental study. Arch Sex Behav. 1980;9(6):477–93.

    Article  CAS  PubMed  Google Scholar 

  5. Kuo YC, Liu SP, Chen JH, Chang HC, Tsai VF, Hsieh JT. Feasability of a novel audio-video sexual stimulation system: an adjunct to the use of penile duplex Doppler ultrasonography for the investigation of erectile dysfunction. J Sex Med. 2010;7(12):3979–83.

    Article  PubMed  Google Scholar 

  6. Tang J, Tang Y, Dai Y, Lu L, Jiang X. The use of intracavernous injection and audiovisual sexual stimulation during real-time pharmacopenile Doppler ultrasonography in vasculogenic erectile dysfunction. Urol Int. 2013;90(4):460–4.

    Article  PubMed  Google Scholar 

  7. Katlowitz NM, Albano GJT, Morales P, Golimbu M. Potentiation of drug-induced erection with audiovisual sexual stimulation. Urology. 1993;41(5):431–4.

    Article  CAS  PubMed  Google Scholar 

  8. Montorsi F, Guazzoni G, Barbeiri L, Ferini-Strambi L, Iannaccone S, Calori G, et al. Genital plus audiovisual sexual stimulation following intracavernous vasoactive injection versus re-dosing for erectile dysfunction—results of a prospective study. J Urol. 1998;159(1):113–5.

    Article  CAS  PubMed  Google Scholar 

  9. Saenz de Tejada I, Moroukian P, Tessier J, Kim J, Goldstein I, Frohrib D. Trabecular smooth muscle modulates the capacitor function of the penis. Studies on a rabbit model. Am J Physiol. 1991;260(5):H1590–5.

    CAS  PubMed  Google Scholar 

  10. Aversa A, Rocchietti-March M, Caprio M, Giannini D, Isidori A, Fabbri A. Anxiety-induced failure in erectile response to intracorporeal prostaglandin-E1 in non-organic male impotence: a new diagnostic approach. Int J Androl. 1996;19(5):307–13.

    Article  CAS  PubMed  Google Scholar 

  11. Hatzichristou DG, De Tejada IS, Kupferman S, Namburi S, Pescatori ES, Udelson D, et al. In vivo assessment of trabecular smooth muscle tone, its application in pharmaco-cavernosometry and analysis of intracavernous pressure determinants. J Urol. 1995;153(4):1126–35.

    Article  CAS  PubMed  Google Scholar 

  12. de Meyer J-M, Thibo P. The effect of re-dosing of vasodilators on the intracavernosal pressure and on the penile rigidity. Eur Urol. 1998;33(3):293–7.

    Article  CAS  PubMed  Google Scholar 

  13. Montorsi F, Guazzoni G, Barbieri L, Galli L, Rigatti P, Pizzini G, et al. The effect of intracorporeal injection plus genital and audiovisual sexual stimulation versus second injection on penile color Doppler sonography parameters. J Urol. 1996;155(2):536–40.

    Article  CAS  PubMed  Google Scholar 

  14. Pescatori E, Silingardi V, Galeazzi GM, Rigatelli M, Ranzi A, Artibani W. Audiovisual sexual stimulation by virtual glasses is effective in inducing complete cavernosal smooth muscle relaxation: a pharmacocavernosometric study. Int J Impot Res. 2000;12(2):83.

    Article  CAS  PubMed  Google Scholar 

  15. Carneiro F, Nascimento B, Miranda EP, Cury J, Cerri GG, Chammas MC. Audiovisual sexual stimulation improves diagnostic accuracy of penile doppler ultrasound in patients with erectile dysfunction. J Sex Med. 2020;17(2):249–56.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Miranda, E.d.P., Carneiro, F. (2024). Audiovisual Sexual Stimulation During Hemodynamic Evaluation of the Penis. In: Penile Color Duplex-Doppler Ultrasound in Erectile Dysfunction Diagnosis and Management. Springer, Cham. https://doi.org/10.1007/978-3-031-55649-4_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-55649-4_9

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-55648-7

  • Online ISBN: 978-3-031-55649-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics