Gall H, Bähren W, Holzki G, Scherb W, Sparwasser C, Ziegler U
Abteilung Dermatologie, Interdisziplinär andrologische Sprechstunde Erektile Dysfunktion am Bundeswehrkrankenhaus Ulm.
Hautarzt. 1990 Jul;41(7):353-9.
A total of 326 patients with chronic erectile dysfunction were investigated by a multidisciplinary approach. It was found that several causes combined (multifactorial genesis) in 77.1%. Organic causes alone were found quite frequently, viz. in 43.6%, while primarily psychogenic causes alone were found in only 5.5%; in contrast, combined organic and psychogenic causes were found in 46.0%. There were pathologic organic findings in 89.6%: vascular in 74.5% (arterial 64.1%, cavernous/venous 30.4%), neurogenic in 42.0%; side effects of drugs in (10.1%); endocrine (7.7%) and local penile causes (4.3%) are not so important in erectile dysfunction. Treatment suited to the pathogenesis was instituted (psychotherapy, vein ligation, self-injection of vasoactive drugs into the corpus cavernosum).
采用多学科方法对总共326例慢性勃起功能障碍患者进行了调查。结果发现，77.1%的患者存在多种病因合并（多因素成因）。仅发现器质性病因的情况相当常见，即占43.6%，而仅发现原发性心理性病因的情况仅占5.5%；相比之下，器质性和心理性病因合并的情况占46.0%。89.6%的患者存在病理性器质性发现：血管性病变占74.5%（动脉性病变占64.1%，海绵体/静脉性病变占30.4%），神经源性病变占42.0%；药物副作用占10.1%；内分泌因素占7.7%，阴茎局部病因占4.3%，这些在勃起功能障碍中不太重要。针对发病机制采取了相应的治疗措施（心理治疗、静脉结扎、向海绵体内自我注射血管活性药物）。
