Rajfer J, Rosciszewski A, Mehringer M
Department of Surgery, UCLA School of Medicine.
J Urol. 1988 Jul;140(1):69-71. doi: 10.1016/s0022-5347(17)41489-3.
To provide insight into the prevalence of corporeal venous leakages as a factor in impotence, 44 consecutive impotent men who failed to achieve an erection after intracorporeal papaverine injection underwent dynamic infusion cavernosometry and cavernosography. If venous leakage is defined as either a failure to increase intracorporeal pressure greater than the systolic blood pressure or a rapid decrease in intracorporeal pressure after cessation of saline infusion during cavernosometry, 30 of the 44 men (68 per cent) fall into this category. If cavernosography (43 men) is used to define the presence of a venous leakage in these impotent patients 37 (86 per cent) fall into this category. These data support recent observations that there is a high incidence of venous leakage as defined by these criteria in men with organic impotence. The significance of these findings can be determined only once a similar study in age-matched potent men is performed.
为深入了解体静脉漏作为阳痿病因的发生率，对44例连续的阳痿患者进行了研究，这些患者在海绵体内注射罂粟碱后无法勃起，随后接受了动态灌注海绵体测压和海绵体造影。如果将静脉漏定义为在海绵体测压过程中未能使海绵体内压升高超过收缩压，或者在停止盐水灌注后海绵体内压迅速下降，那么44例患者中有30例（68%）属于此类。如果使用海绵体造影（43例患者）来确定这些阳痿患者是否存在静脉漏，那么其中37例（86%）属于此类。这些数据支持了最近的观察结果，即按照这些标准定义，器质性阳痿男性中静脉漏的发生率很高。只有在对年龄匹配的有勃起功能的男性进行类似研究后，才能确定这些发现的意义。
