Zorgniotti A W
Urology. 1984 May;23(5 Spec No):98-102. doi: 10.1016/0090-4295(84)90251-6.
The author presents the view that there is a real need to diagnose impotence in more detail as demand for physiologic solutions to erectile dysfunction make inroads into the simplistic solution offered by penile implantation. Penile blood pressure measurements are diagnostic of vascular insufficiency only when values are low, since it is possible to demonstrate obstructive disease of the internal pudendal artery and its branches with selective arteriography of the presence of normal penile blood pressure. A rational approach to the workup of impotence is called for and practitioners are asked to weigh the ultimate usefulness of each test in the context of the individual patient's needs.
作者提出观点，随着对勃起功能障碍生理解决方案的需求逐渐取代阴茎植入这种简单解决方案，确实需要更详细地诊断阳痿。阴茎血压测量仅在数值较低时才诊断为血管功能不全，因为即使阴茎血压正常，也有可能通过选择性动脉造影显示阴部内动脉及其分支的阻塞性疾病。需要一种合理的阳痿检查方法，并且要求从业者根据个体患者的需求权衡每项检查的最终效用。
