Puppo P, De Rose A F, Pittaluga P, Giuliani L
Department of Urology, University of Genoa, Italy.
Eur Urol. 1988;15(3-4):213-8. doi: 10.1159/000473436.
The diagnosis and treatment of male impotence have been radically modified by the introduction of intracavernous injections of papaverine. Papaverine treatment can solve more than 70% of male impotence cases, so that the real clue to the diagnosis of impotence is to discriminate between patients who can be treated by papaverine alone and patients deserving thorough investigation. The association of papaverine injection plus video sexual stimulation for this purpose was adopted in our last 250 unselected patients and represents a valuable tool. 115 of 250 achieved successful treatment for their impotence according the following percentages: intracavernous papaverine injections at the practice or at home 75.8%; prosthesis, 19.1%; venous surgery, 3.4%, and arterial surgery, 1.7%.
阴茎海绵体内注射罂粟碱的应用，使男性阳痿的诊断与治疗发生了根本性的改变。罂粟碱治疗可解决70%以上的男性阳痿病例，因此阳痿诊断的真正关键在于区分仅用罂粟碱即可治疗的患者和需要进行全面检查的患者。在我们最近的250例未经挑选的患者中，采用了罂粟碱注射联合视频性刺激来进行此项区分，这是一种有价值的手段。250例患者中有115例阳痿治疗成功，其比例如下：在诊所或家中进行阴茎海绵体内罂粟碱注射，成功率为75.8%；假体植入，成功率为19.1%；静脉手术，成功率为3.4%；动脉手术，成功率为1.7%。
