Korenman S G, Viosca S P, Kaiser F E, Mooradian A D, Morley J E
Department of Medicine, Veterans Affairs Medical Center, Sepulveda, California 91343.
J Am Geriatr Soc. 1990 Mar;38(3):217-20. doi: 10.1111/j.1532-5415.1990.tb03494.x.
This study evaluated the use of a vacuum tumescence device in the treatment of impotence in older men. Twenty couples with sexual dysfunction due to erectile impotence and who were interested in restoration of sexual function were treated by providing them with both a vacuum tumescence device to engorge the penis and an obstructing band to impede venous return. Nineteen patients established firm to hard erections lasting an average of 16 minutes and were able to have satisfactory coitus with vaginal ejaculation an average of three times per month. The penile-brachial pressure index, supine and after exercise (a measure of the adequacy of penile arterial flow), exhibited a significant increase following six month's use of the vacuum tumescence device. The only significant complications were mild, self-limited hematomas on three occasions of use. Thus in this limited series the vacuum tumescence device provided a well-accepted, relatively inexpensive therapeutic approach to impotence.
本研究评估了真空勃起装置在老年男性阳痿治疗中的应用。二十对因勃起功能障碍而出现性功能障碍且对恢复性功能感兴趣的夫妇接受了治疗，为他们提供了使阴茎充血的真空勃起装置以及阻碍静脉回流的阻带。19名患者实现了坚挺至坚硬的勃起，平均持续16分钟，并且平均每月能够进行三次令人满意的伴有阴道射精的性交。阴茎肱动脉血压指数，无论是仰卧位还是运动后（衡量阴茎动脉血流充足程度的指标），在使用真空勃起装置六个月后均有显著升高。唯一显著的并发症是在三次使用过程中出现了轻度的、自行消退的血肿。因此，在这个有限的系列研究中，真空勃起装置为阳痿提供了一种广泛接受、相对廉价的治疗方法。
