Takahashi Y, Hirata Y
Diabetes Center, Tokyo Women's Medical College, Japan.
Diabetes Res Clin Pract. 1988 Feb 19;4(3):197-201. doi: 10.1016/s0168-8227(88)80018-4.
The usefulness of nocturnal penile tumescence (NPT) monitoring with stamps was evaluated in diabetic males with impotence. The stamps, which were similar in paper and size to Japanese 10-yen postage stamps, were wrapped around the penis before sleep and the stamp ring was checked for breakage the next morning. Clinical features of the subjects were investigated by penile blood pressure index (PBPI), neurological examinations, psychological tests, and hormonal measurements. Nineteen out of 37 patients with impotence had a breakage of the stamp rings on one or more of 3 nights. The patients with non-breakage of stamp rings had significantly more serious diabetic neuropathy (peripheral and autonomic), depressive tendency, loss of libido, and a higher prevalence of heavy smoking than those with breakage of the stamp rings. PBPI and hormonal findings showed no difference between the breakage and non-breakage patients. These results show that the diagnostic value of this method is nearly the same as that of NPT recording with a strain gauge.
我们对使用邮票监测夜间阴茎勃起（NPT）在糖尿病性阳痿男性中的效用进行了评估。这些邮票在纸张和尺寸上与日本10日元邮票相似，在睡前缠绕在阴茎上，次日早晨检查邮票环是否破损。通过阴茎血压指数（PBPI）、神经学检查、心理测试和激素测量对受试者的临床特征进行了调查。37例阳痿患者中有19例在3个晚上中的1个或多个晚上出现邮票环破损。邮票环未破损的患者比邮票环破损的患者患有更严重的糖尿病神经病变（周围性和自主性）、抑郁倾向、性欲减退，且重度吸烟的患病率更高。PBPI和激素检查结果在邮票环破损和未破损的患者之间没有差异。这些结果表明，该方法的诊断价值与使用应变仪记录NPT的诊断价值几乎相同。
