Abstract
Neurogenic factors contributing to erectile dysfunction may be found in up to 20 per cent of organically impotent men. Although many options have been suggested for the treatment of some of these problems in male patients, most are invasive and have substantial morbidity.
Our study group comprised 32 patients with spinal cord injury. These 32 patients with neurogenic impotence, who had been injued at least one year previously and had a regular sexual partner were evaluated. We selected external vacuum therapy as the treatment modality.
During the initial phase of the study, six patients refused treatment due to negative cultural perception and they were excluded from the study group. Four patients discontinued treatment because of minor complications such as ecchymoses, petechiae and lack of motivation.
Our data suggest that external vacuum therapy is a feasible, safe, noninvasive alternative and possibly a better initial treatment for the management of impotence secondary to spinal cord injury.
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References
Lloyd, E. E., Tod, L. L., Perkash, I.: Vacuum tumescence: An option for spinal cord injured males with erectile dysfunction.SCI Nursing, 6, 25 (1989).
Padma-Nathan, H., Canellos, A.: The management of erectil dysfunction following spinal cord injury. Seminars in Urology. Vol. 10. W. B. Saunders Co., Philadelphia 1992, pp. 133–137.
Sidi, A. A., Cameron, J. S., Dykstra, D. D., Reinberg, Y.: Vasoactive intracavernous pharmacotherapy for the treatment of erectile impotence in man with spinal cord injury.J. Urol., 138, 539 (1987).
Bors, E., Comorr, E.: Neurogenic disturbances of sexual functioning with special reference to 529 patients with SCI.Urol. Surv., 10, 191 (1960).
Hackler, R. H., Katz, P. G.: Management of common problems in spinal cord injured patients. AUA update series. Vol. X. Lesson 6, 1991.
Iwatsubu, E., Tanakha, M., Takayashi, K: Non-inflatable penile prosthesis for the management of urinary incontinence and sexual disability of patients with spinal cord injury.Paraplegia, 24, 307 (1986).
Levine, S. B., Althof, S. E., Turner, L. A., Risen, C. B., Bodner, D. R., Kirsh, 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).
Padma-Nathan, H., Payton, T., Goldstein, I. Treatment alternatives for organic erectile dysfunction AUA update series X and XI, 1987.
Padma-Nathan, H., Payton, T., Goldstein, I.: Intracavernous pharmacotherapy.World J. Urol., 5, 160 (1987).
Lloyd, L. K., Richards, J. S.: Intracavernous injection for the management of erectile dysfunction in spinal cord injury.Paraplegia, 1, 27 (1989).
Sotile, W. M.: The penile prosthesis. A Review.J. Sex & Marital Ther., 5, 90 (1979).
Green, B. G., Sloan, S. L.: Penile prosthesis in spinal cord injury patients: Combined psychosexual counseling and surgical regimen.Paraplegia, 24, 167 (1986).
Turner, L. A., Althof, S. E., Levine, S. B., Bodner, D. R., Kursh, E. D., Resnick, M. I.: External vacuum devices in the treatment of erectile dysfunction: A none-year study of sexual and psychosocial impact.J. Sex & Marital Ther., 17, 81 (1991).
White, M. J., Rintela, D. H., Hart, K. A.: Sexual activities, concerns and interest of man with spinal cord injury.Am. J. Phys. Med. and Reh., 71, 225 (1992).
Collins, K. P., Hackler, R. H.: Complications of the penile prostheses in the spinal cord injury population.J. Urol., 140, 984 (1988).
Light, J. K., Scott, F. B.: Management of neurogenic impotence with inflatable penile prosthesis.Urology, 17, 341 (1981).
Rossier, A. B., Fam, B. A.: Indication and results of semirigid penile prosthesis in spinal cord injury patients.J. Urol., 131, 59 (1984).
Anderson, R. U.: Urinary tract infections in spinal cord injury patients. In: Walsh, P. C., Gittes, R. E., Perlmutter, A. D., Stamey, T. A. (eds.): Campbell's Urology. W. B. Saunders Co., Philadelphia 1986, p. 888.
Abozeid, M., Jueneman, K. P., Luo, J. A.: Chronic papaverine treatment: The effect of repeat injection on the simian erectile response and penile tissue.J. Urol., 238, 1263 (1987).
Zasler, N. D., Katz, P. G.: Synergist erectile system in the management of impotence secondary to spinal cord injury.Arch. Phys. Med. Reh., 70, 712 (1989).
Nadig, P. W., Ware, J. C., Blumoff, R.: Noninvasive device to produce and maintain an erection-like state.Urology, 27, 126 (1986).
Sidi, A. A., Lewis, J. H.: Clinical trial of simplified vacuum erection device for impotence treatment.Urology, 39, 526 (1992).
Jaworski, T. M., Richards, J. S., Lloyd, L. K.: Retrospective review of sexual and marital satisfaction of spinal cord injured and diabetic males post penile injection or implant.Urology, 40, 127 (1992).
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Seckin, B., Atmaca, I., Ozgok, Y. et al. External vacuum device therapy for spinal cord injured males with erectile dysfunction. International Urology and Nephrology 28, 235–240 (1996). https://doi.org/10.1007/BF02550868
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DOI: https://doi.org/10.1007/BF02550868