Weinberg J J, Badlani G H
Division of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Urology. 1988 Jun;31(6):526-9. doi: 10.1016/0090-4295(88)90225-7.
The Rigiscan machine was used to measure nocturnal penile tumescence and rigidity in 41 men referred for evaluation of erectile impotence. In 6 patients, the Rigiscan was compared with the Tumistore and Snap-Gauge bands. Two patients achieved significant tumescence as measured by Tumistore, and 3 had significant tumescence as indicated by the breaking of two or three of the Snap-Gauge bands. None of these men achieved sufficient rigidity for intercourse as measured by the Rigiscan. Fourteen patients with organic impotence received intracorporeal injections of papaverine and were then monitored by Rigiscan. Six of the 14 were noted to have a Peyronie plaque. Of the remaining 8, 6 of these men achieved lasting erections sufficient for intercourse. The other 2 had erections that lasted ten minutes and were considered to have venous leak impotence. All patients with Peyronie disease had tumescence after papaverine injection, but in 5 the penis became rigid only at the base. Complications of papaverine injection were uncommon and minor. The Rigiscan and papaverine are useful in the diagnosis and management of erectile impotency.
使用Rigiscan机器对41名因勃起功能障碍前来评估的男性进行夜间阴茎肿胀和硬度测量。在6名患者中,将Rigiscan与Tumistore和Snap - Gauge环进行了比较。通过Tumistore测量,有2名患者实现了显著肿胀,3名患者根据Snap - Gauge环断裂两三个显示有显著肿胀。但根据Rigiscan测量,这些男性均未达到性交所需的足够硬度。14名器质性阳痿患者接受了阴茎海绵体内注射罂粟碱,然后通过Rigiscan进行监测。14名患者中有6名被发现有佩罗尼氏斑块。其余8名患者中,有6名男性实现了足以进行性交的持久勃起。另外2名患者的勃起持续了10分钟,被认为患有静脉漏性阳痿。所有佩罗尼氏病患者在注射罂粟碱后均有肿胀,但5名患者阴茎仅在根部变硬。罂粟碱注射的并发症不常见且轻微。Rigiscan和罂粟碱在勃起功能障碍的诊断和治疗中很有用。