Bornman M S, Du Plessis D J
S Afr Med J. 1985 Dec 7;68(12):855-7.
Three hundred impotent patients were evaluated by a general and sexual questionnaire, clinical examination, hormonal assay, penile blood pressure measurements, erectiometry, urodynamic studies and ultrasonography of the corpus cavernosum. The patients were classified according to the cause of the impotence; 44% had a psychogenic basis, 13% a neuropathy, 39% a vasculogenic cause and 4% a combination of neuropathy and angiopathy. Psychogenically impotent patients were referred for further treatment. Twenty penile prostheses were implanted in the organic group; 19 patients were satisfied with the result. This diagnostic approach to impotence classification and treatment according to the cause and the careful selection of patients for surgery improved the success rate.
通过一份综合与性方面的问卷、临床检查、激素测定、阴茎血压测量、硬度测量、尿动力学研究以及海绵体超声检查，对300例阳痿患者进行了评估。根据阳痿的病因对患者进行分类；44%有心理性基础，13%有神经病变，39%有血管源性病因，4%有神经病变与血管病变的组合。心理性阳痿患者被转介接受进一步治疗。在器质性组中植入了20个阴茎假体；19例患者对结果满意。这种根据病因对阳痿进行分类和治疗的诊断方法以及对手术患者的精心挑选提高了成功率。
