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Role of Nocturnal Penile Erection Test on Response to Daily Sildenafil in Patients With Erectile Dysfunction due to Pelvic Fracture Urethral Disruption: A Single-center Experience
Peng, Jing; Zhang, Zhichao; Cui, Wanshou; Yuan, Yiming; Gao, Bing; Song, Weidong; Xin, Zhongcheng
刊名UROLOGY
2014-12-01
DOI10.1016/j.urology.2014.08.006
84期:6页:1389-1394
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]SPARING RADICAL PROSTATECTOMY ; IMPOTENCE ; TUMESCENCE ; DIAGNOSIS ; RIGIDITY ; URETHROPLASTY ; MANAGEMENT ; INJURIES ; EFFICACY ; SAFETY
英文摘要

OBJECTIVE To evaluate the results of nocturnal penile erection test and response to daily sildenafil in patients with erectile dysfunction (ED) due to pelvic fracture urethral disruption.

METHODS From January 2010 to January 2012, we included 38 patients with ED due to pelvic fracture urethral disruption. The mean age was 33.1 years (range, 22-49 years). All were evaluated subjectively and objectively by the International Index of Erectile Function-5, nocturnal penile tumescence and rigidity (NPTR) test, and penile Doppler ultrasonography. Patients received daily sildenafil 50 mg for 3 months.

RESULTS Thirty-one patients were followed up: 54.8% showed response to sildenafil defined as reporting successful vaginal penetration and intercourse. Patients with neurogenic, arterial, and venous EDs did not differ in efficiency rates (P = .587). However, the penile erectile rigidity recorded by NPTR test affected efficiency significantly (P = .046). Patients with tip rigidity >40% had the highest response rate (76.9%), but the response rate for patients with tip rigidity <20% was only 22.2%.

CONCLUSION NPTR recording can reveal resident erectile function in patients with ED due to trauma and is significant for selecting pharmacologic treatment as optimal therapy. (C) 2014 Elsevier Inc.

语种英语
WOS记录号WOS:000345580500043
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/55842
专题北京大学第一临床医学院_男科中心
北京大学第一临床医学院_泌尿外科
作者单位Peking Univ, Hosp 1, Androl Ctr, Beijing 100034, Peoples R China
推荐引用方式
GB/T 7714
Peng, Jing,Zhang, Zhichao,Cui, Wanshou,et al. Role of Nocturnal Penile Erection Test on Response to Daily Sildenafil in Patients With Erectile Dysfunction due to Pelvic Fracture Urethral Disruption: A Single-center Experience[J]. UROLOGY,2014,84(6):1389-1394.
APA Peng, Jing.,Zhang, Zhichao.,Cui, Wanshou.,Yuan, Yiming.,Gao, Bing.,...&Xin, Zhongcheng.(2014).Role of Nocturnal Penile Erection Test on Response to Daily Sildenafil in Patients With Erectile Dysfunction due to Pelvic Fracture Urethral Disruption: A Single-center Experience.UROLOGY,84(6),1389-1394.
MLA Peng, Jing,et al."Role of Nocturnal Penile Erection Test on Response to Daily Sildenafil in Patients With Erectile Dysfunction due to Pelvic Fracture Urethral Disruption: A Single-center Experience".UROLOGY 84.6(2014):1389-1394.
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