Amer M, Lorge F, Schouman M, Arvis G
Service d'Urologie-Andrologie, Hôpital Saint-Antoine, Paris.
Ann Urol (Paris). 1991;25(1):25-9.
In order to establish diagnostic cavernometric criteria, we selected 63 patients who did not respond positively to visual sexual stimulation. They were subjected to the following protocol including Rigiscan monitoring of 2 or 3 nights erections for, hormonal assays, penile doppler, cavernometry and cavernography. Intracorporeal injection of 8 mg of papaverine was performed during the hemodynamic tests. Our results showed that the erection maintenance blood flow and the maintenance index are statistically reliable diagnostic criteria for venous leaks (the maintenance index is more accurate). The use of 8 mg of papaverine reduces the incidence of false positive results without significant hemodynamic changes. In order to exclude psychogenic false positive patients, it is recommended to select the candidates for cavernometry after papaverine tests and nocturnal penile tumescence and rigidity monitoring.
为了建立诊断性海绵体测压标准，我们选取了63例对视觉性刺激无阳性反应的患者。他们接受了以下方案，包括进行2至3晚的阴茎勃起功能监测仪（Rigiscan）监测勃起情况、激素测定、阴茎多普勒检查、海绵体测压和海绵体造影。在血流动力学测试期间进行8毫克罂粟碱的海绵体内注射。我们的结果表明，勃起维持血流和维持指数是静脉漏的统计学可靠诊断标准（维持指数更准确）。使用8毫克罂粟碱可降低假阳性结果的发生率，且无明显血流动力学变化。为了排除心因性假阳性患者，建议在罂粟碱试验以及夜间阴茎肿胀和硬度监测后选择进行海绵体测压的患者。
