Battino J, Kün P, Haïat R
Arch Mal Coeur Vaiss. 1981 Dec;74(12):1457-63.
With the aim of diagnosing possible arterial causes of sexual impotence, a Doppler study of the arteries of erection (dorsal arteries of the penis, left and right cavernous arteries) was performed according to an original protocol on 132 patients with cardiovascular disease. The Doppler study included recording of mean arterial flow and the measurement of the systolic pressure of the arteries of erection with a specially designed cuff connected to a manometer. In 60 out of 132 cases the investigation demonstrated an arterial component in the cause of the impotence and was able to determine whether the disease was uni- or bilateral. The disturbance of penile irrigation was constantly associated with a lengthening of the decceleration phase of the arterial flow curve. Aortography was carried out in 46 of these 60 cases and confirmed the results by showing arterial disease and its location: aortic bifurcation (33 cases) ischio-perineal trunk and/or the perineal branch of the hypogastric artery (7 cases), hypogastric artery (6 cases). Reliable and atraumatic, our protocol allows a precise diagnostic of possible arterial components in sexual impotence; it should therefore be an integral part of investigation of impotence of recent onset.
为了诊断导致性功能障碍的可能动脉病因，我们按照一项原创方案，对132例心血管疾病患者的勃起动脉（阴茎背动脉、左右海绵体动脉）进行了多普勒研究。该多普勒研究包括记录平均动脉血流，并使用连接到压力计的特制袖带测量勃起动脉的收缩压。在132例病例中，有60例的调查显示性功能障碍病因中存在动脉因素，并且能够确定疾病是单侧还是双侧。阴茎灌注障碍始终与动脉血流曲线减速期延长相关。在这60例病例中的46例进行了主动脉造影，通过显示动脉疾病及其位置证实了结果：主动脉分叉（33例）、坐骨会阴干和/或下腹动脉会阴支（7例）、下腹动脉（6例）。我们的方案可靠且无创，能够精确诊断性功能障碍中可能的动脉因素；因此，它应该成为近期发生的性功能障碍调查的一个组成部分。
