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学科主题: 临床医学
题名:
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
作者: Peng, Jing; Zhang, Zhichao; Cui, Wanshou; Yuan, Yiming; Gao, Bing; Song, Weidong; Xin, Zhongcheng
刊名: UROLOGY
发表日期: 2014-12-01
DOI: 10.1016/j.urology.2014.08.006
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55842
Appears in Collections:北京大学第一临床医学院_男科中心_期刊论文

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作者单位: Peking Univ, Hosp 1, Androl Ctr, Beijing 100034, Peoples R China

Recommended Citation:
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.
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