Schurch B, Kuhn W
Centre suisse de paraplégiques, Clinique orthopédique universitaire Balgrist, Zurich.
Schweiz Rundsch Med Prax. 1990 Sep 18;79(38):1085-8.
Different problems regarding erectile dysfunction in men with spinal cord-injury are outlined. Neuroanatomical and neurophysiological aspects of erection and ejaculation are outlined and brought into relation with the different clinical pictures of such lesions. Different therapeutical possibilities are presented, particularly the new treatments like intracavernous papaverine (autoinjection), prostaglandin E1 and transcutaneous nitroglycerin; action, advantages and indications are discussed. The experience in ten para- or tetraplegic patients are discussed. It seems that even in spite of the higher price of PGE1 this treatment of the erectile dysfunction in spinal cord-injured men should be preferred, since it shows more advantages and less complications than other treatments.
本文概述了脊髓损伤男性勃起功能障碍的不同问题。阐述了勃起和射精的神经解剖学及神经生理学方面，并将其与此类损伤的不同临床表现联系起来。介绍了不同的治疗方法，特别是如海绵体内注射罂粟碱（自我注射）、前列腺素E1和经皮硝酸甘油等新疗法；讨论了其作用、优点及适应症。还讨论了10例截瘫或四肢瘫患者的治疗经验。尽管前列腺素E1价格较高，但对于脊髓损伤男性勃起功能障碍的治疗似乎仍应首选该疗法，因为与其他治疗方法相比，它具有更多优点且并发症更少。
