Skip to main content
Log in

External vacuum device therapy for spinal cord injured males with erectile dysfunction

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

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.

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. 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).

    PubMed  CAS  Google Scholar 

  2. 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.

    Google Scholar 

  3. 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).

    PubMed  CAS  Google Scholar 

  4. Bors, E., Comorr, E.: Neurogenic disturbances of sexual functioning with special reference to 529 patients with SCI.Urol. Surv., 10, 191 (1960).

    Google Scholar 

  5. Hackler, R. H., Katz, P. G.: Management of common problems in spinal cord injured patients. AUA update series. Vol. X. Lesson 6, 1991.

  6. 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).

    Google Scholar 

  7. 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).

    PubMed  CAS  Google Scholar 

  8. Padma-Nathan, H., Payton, T., Goldstein, I. Treatment alternatives for organic erectile dysfunction AUA update series X and XI, 1987.

  9. Padma-Nathan, H., Payton, T., Goldstein, I.: Intracavernous pharmacotherapy.World J. Urol., 5, 160 (1987).

    Article  Google Scholar 

  10. Lloyd, L. K., Richards, J. S.: Intracavernous injection for the management of erectile dysfunction in spinal cord injury.Paraplegia, 1, 27 (1989).

    Google Scholar 

  11. Sotile, W. M.: The penile prosthesis. A Review.J. Sex & Marital Ther., 5, 90 (1979).

    CAS  Google Scholar 

  12. Green, B. G., Sloan, S. L.: Penile prosthesis in spinal cord injury patients: Combined psychosexual counseling and surgical regimen.Paraplegia, 24, 167 (1986).

    PubMed  CAS  Google Scholar 

  13. 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).

    CAS  Google Scholar 

  14. 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).

    Article  CAS  Google Scholar 

  15. Collins, K. P., Hackler, R. H.: Complications of the penile prostheses in the spinal cord injury population.J. Urol., 140, 984 (1988).

    PubMed  CAS  Google Scholar 

  16. Light, J. K., Scott, F. B.: Management of neurogenic impotence with inflatable penile prosthesis.Urology, 17, 341 (1981).

    Article  PubMed  CAS  Google Scholar 

  17. Rossier, A. B., Fam, B. A.: Indication and results of semirigid penile prosthesis in spinal cord injury patients.J. Urol., 131, 59 (1984).

    PubMed  CAS  Google Scholar 

  18. 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.

    Google Scholar 

  19. 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).

    Google Scholar 

  20. 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).

    CAS  Google Scholar 

  21. Nadig, P. W., Ware, J. C., Blumoff, R.: Noninvasive device to produce and maintain an erection-like state.Urology, 27, 126 (1986).

    Article  PubMed  CAS  Google Scholar 

  22. Sidi, A. A., Lewis, J. H.: Clinical trial of simplified vacuum erection device for impotence treatment.Urology, 39, 526 (1992).

    Article  PubMed  CAS  Google Scholar 

  23. 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).

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02550868

Keywords

Navigation