Takimoto Y, Kawazoe K, Hosokawa H, Hamada T, Ono M, Aoki Y, Yasuoka S
Department of Urology, School of Medicine, Nihon University.
Hinyokika Kiyo. 1989 Jan;35(1):71-6.
Forty milligrams papaverine HCl was intracavernously injected to 28 patients with erectile dysfunction for diagnosis and treatment in 14 cases in which it was injected a few times. We designed a brief manual method for measurement of penile hardness by artificial erection. Twenty of the patients corresponding to 71.4%, reacted, but only 16 (57.1%) had efficient erection for possibility of coitus. It was useful for the diagnosis of vascular dysfunction with dorsal penile arterial pulse sound examination in impotence. It was useful for the cases of small vascular impediment with preservation of nerve supply after the operation of intrapelvic malignancies, and self injection might be possible, but on the other hand, it had no effect for the patients of advanced age with vascular impediment and diabetes mellitus neuropathy, and with arteriosclerosis.
对28例勃起功能障碍患者进行海绵体内注射40毫克盐酸罂粟碱，其中14例多次注射用于诊断和治疗。我们设计了一种通过人工勃起测量阴茎硬度的简易手动方法。20例患者（占71.4%）有反应，但只有16例（57.1%）有有效的勃起，具备性交可能性。阴茎背动脉脉搏音检查对阳痿血管功能障碍的诊断有用。对于盆腔内恶性肿瘤手术后神经供应保留但存在小血管障碍的病例有用，且可能可自行注射，但另一方面，对伴有血管障碍、糖尿病神经病变和动脉硬化的老年患者无效。
