Padma-Nathan H
Department of Urology, Boston University School of Medicine, Massachusetts.
Urol Clin North Am. 1988 Feb;15(1):77-80.
Most patients with neurogenic impotence present with a pre-existing neurologic disease. The neurologic assessment in these patients is generally performed to confirm that the underlying neuropathology plays a role in the erectile dysfunction. There are patients, however, with no obvious pre-existing neuropathology who are identified as having a vibratory impairment of the dorsal nerve on penile biothesiometry. Subsequent neurophysiologic testing in several of these patients has confirmed unsuspected neuropathology. An objective evaluation of autonomic cavernosal neurointegrity is still awaited. Such a test may enable the detection of efferent denervation resulting in neurogenic erectile dysfunction that is not clinically obvious.
大多数神经性阳痿患者存在既往神经疾病。对这些患者进行神经学评估通常是为了确认潜在的神经病理学在勃起功能障碍中起作用。然而，有一些患者没有明显的既往神经病理学表现，但在阴茎生物感觉测量中被确定存在背神经振动功能障碍。随后对其中一些患者进行的神经生理学测试证实了未被怀疑的神经病理学情况。目前仍在等待对自主海绵体神经完整性的客观评估。这样一种测试可能能够检测出导致临床上不明显的神经性勃起功能障碍的传出神经去神经支配情况。
