Bodner D R
Prim Care. 1985 Dec;12(4):719-33.
Impotence is a multifaceted problem. Complex neurologic pathways intermingle to control specific vascular changes in a tightly controlled hormonal milieu. Although great progress has been made in understanding the mechanism of erection, further studies are needed. Careful history and physical examination along with appropriate laboratory tests and noninvasive penile vascular studies are important in differentiating organic from psychogenic impotence. Understanding the etiology of impotence permits a more logical and effective treatment plan. The advent of the semirigid and inflatable penile prostheses has provided a simple and effective treatment for patients with organic impotence for whom there were no treatment options available in the past. The continued improvement in the design of the prostheses and the simplicity with which they can be implanted have revolutionized the treatment of impotence. With newer prosthetic devices being developed, the penile prosthesis will continue to improve the quality of life for impotent patients.
阳痿是一个多方面的问题。复杂的神经通路相互交织，在严格控制的激素环境中控制特定的血管变化。尽管在理解勃起机制方面已经取得了很大进展，但仍需要进一步研究。仔细的病史和体格检查，以及适当的实验室检查和无创阴茎血管研究，对于区分器质性阳痿和心因性阳痿很重要。了解阳痿的病因有助于制定更合理、有效的治疗方案。半硬性和可膨胀阴茎假体的出现，为过去没有治疗选择的器质性阳痿患者提供了一种简单有效的治疗方法。假体设计的不断改进以及植入的简便性，彻底改变了阳痿的治疗方式。随着更新的假体装置的研发，阴茎假体将继续改善阳痿患者的生活质量。
