Qin Feng, Gao Liang, Qian Shengqiang, Fu Fudong, Yang Yang, Yuan Jiuhong
The Andrology Laboratory, West China Hospital, Sichuan University, Chengdu, 610041, China.
Department of Urology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Int J Impot Res. 2018 Aug;30(4):192-201. doi: 10.1038/s41443-018-0032-8. Epub 2018 Jun 1.
Over the past decades, sleep-related erection and rigidity monitoring has been used to differentiate psychogenic from organic erectile dysfunction (ED), due to the involuntary nature of erections in sleep. This study retrospectively reviewed all available literature focusing on sleep-related erection and rigidity monitoring through a systematic PubMed search. To date, there are mainly seven methods and their modifications, including: sleep laboratory testing, the mercury strain gauge, the stamp test, the erectometer, the Snap gauge, the RigiScan, and nocturnal electrobioimpedance volumetric assessment. This study analyzes and summarizes the advantages and limitations of seven monitoring methods. This study indicates that both of the above methods possess the capacity to assess erectile quality and provide guidance to the diagnosis, etiology, and differential diagnosis of ED. However, some limitations still exist for the application. New devices which can continuously monitor kinds of variables, including sleep-related erection, axial and radial rigidity, and oxygen saturation are needed.
在过去几十年中，由于睡眠中勃起的非自主性，与睡眠相关的勃起和硬度监测已被用于区分心理性勃起功能障碍（ED）和器质性勃起功能障碍。本研究通过系统的PubMed检索，回顾了所有关于与睡眠相关的勃起和硬度监测的文献。目前，主要有七种方法及其改良方法，包括：睡眠实验室测试、水银应变计、邮票试验、硬度计、Snap测量仪、RigiScan和夜间生物电阻抗容积评估。本研究分析并总结了这七种监测方法的优缺点。本研究表明，上述两种方法都有能力评估勃起质量，并为ED的诊断、病因及鉴别诊断提供指导。然而，在应用中仍存在一些局限性。需要能够连续监测各种变量的新设备，包括与睡眠相关的勃起、轴向和径向硬度以及血氧饱和度。
