Eardley I, Vale J, Holmes S, Patel A, Kirby R S, Lumley J S
Department of Urology, St Bartholomew's Hospital, West Smithfield, London.
J R Soc Med. 1990 Jan;83(1):22-4. doi: 10.1177/014107689008300111.
Thirty-three impotent men underwent pharmacocavernometry and cavernography. Ten patients had a good clinical response to 60 mg papaverine, nine had a moderate clinical response and in 14, the response was judged to be a poor one. Twelve patients had evidence of abnormal venous leakage from the corpora. Subsequent investigation with isotope phallography showed six patients to have arterial insufficiency and in three of these patients this was amenable to reconstructive vascular surgery. We conclude that pharmacocavernometry provides a useful, cheap and reliable method for the investigation of impotent men which may be performed on an outpatient basis.
33名阳痿患者接受了药物海绵体测压和海绵体造影检查。10名患者对60毫克罂粟碱有良好的临床反应,9名患者有中度临床反应,14名患者的反应被判定为较差。12名患者有海绵体静脉异常漏血的证据。随后的同位素阴茎造影检查显示6名患者有动脉供血不足,其中3名患者适合进行血管重建手术。我们得出结论,药物海绵体测压为阳痿患者的检查提供了一种有用、廉价且可靠的方法,可在门诊进行。