Meazza A, Musso L, Patelli E, Santelia A
Service d'Urologie, Ca Granda de Milan, Italie.
J Urol (Paris). 1989;95(3):155-60.
The authors present their experience with 120 patients investigated for erection disorders. The clinical evaluation of this multidisciplinary approach includes endocrine assessment, neurological and vascular examination, which includes measurement of nocturnal erections (NPT test). From the vascular viewpoint, bilateral velocimetric curves of the dorsal, cavernous and bulbo urethral arteries are recorded in the basal state (six derivations) the PBPI (Penile Brachial Pressure Index) is then calculated. The group included 17 patients with vascular pathology, 94 with psychogenic pathology and 9 with mixed pathology. In the cases due to vascular pathology only 34.04% of penile arterial flow rates were within the normal range: out of the 6 measurements almost 4 were outside the normal range. A statistically significant difference was noted between the mean velocity data and the PBPI of the "psychogenic" and "vascular" patients. This examination enables the andrologist to take into account the state of vascularisation of the penis and to continue with new forms of examination (dynamic Doppler) which provide the most precise possible etiological diagnosis.
作者介绍了他们对120例勃起功能障碍患者的研究经验。这种多学科方法的临床评估包括内分泌评估、神经和血管检查，其中包括夜间勃起测量（夜间阴茎勃起试验）。从血管角度来看，在基础状态下记录阴茎背动脉、海绵体动脉和球部尿道动脉的双侧流速曲线（六个导联），然后计算阴茎肱动脉压力指数（PBPI）。该组包括17例血管病变患者、94例心理性病变患者和9例混合性病变患者。在仅由血管病变引起的病例中，只有34.04%的阴茎动脉流速在正常范围内：在6次测量中，几乎有4次超出正常范围。“心理性”和“血管性”患者的平均流速数据与PBPI之间存在统计学上的显著差异。这项检查使男科医生能够考虑阴茎的血管化状态，并继续进行新的检查形式（动态多普勒），以提供尽可能精确的病因诊断。
