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[阴茎海绵体内自我注射治疗阳痿:与罂粟碱相比,莫西赛利降低了风险]

[Treatment of impotence with intracavernous auto-injections: moxisylyte diminishes the risks compared to papaverine].

作者信息

Buvat J, Buvat-Herbaut M, Lemaire A, Marcolin G

机构信息

Association pour l'Etude de la Pathologie de l'Appareil Reproducteur et de la Psychosomatique (EPARP), Lille.

出版信息

Contracept Fertil Sex. 1993 Feb;21(2):173-6.

PMID:7951610
Abstract

The alpha-blocking agent Moxisylyte was tested in auto-intracavernous injections (auto-ICI) in 72 impotent patients. The side-effects were compared to those observed in a group of 34 impotent patients treated with auto-ICI of Papaverine during the same period of time. The Moxisylyte auto-ICI improved 83% of the patients including 68% reporting a complete and durable success. Moxisylyte proved to be safer due to a reduced rate of prolonged erections (1.3% of the patients versus 8.8% with Papaverine) and corporeal fibrosis (1.3% versus 32% with Papaverine). Though less potent than Papaverine, and often seeming insufficient when tested in the office, this type of alpha-blocking agent could be tried in a first time in most candidates to auto-ICI before resorting to Papaverine or Prostaglandin E1 if it fails.

摘要

对72例阳痿患者进行了α-阻滞剂莫西赛利的海绵体内自我注射(自我海绵体内注射,auto-ICI)试验。将其副作用与同期34例接受罂粟碱自我海绵体内注射治疗的阳痿患者所观察到的副作用进行了比较。莫西赛利自我海绵体内注射使83%的患者病情改善,其中68%报告完全且持久有效。事实证明,莫西赛利更安全,因为阴茎异常勃起的发生率降低(患者中占1.3%,而罂粟碱为8.8%),以及海绵体纤维化发生率降低(分别为1.3%和32%)。尽管莫西赛利的效力不如罂粟碱,且在门诊测试时往往似乎效果不佳,但在大多数适合自我海绵体内注射的患者中,可先尝试使用这种α-阻滞剂,若失败再使用罂粟碱或前列腺素E1。

相似文献

1
[Treatment of impotence with intracavernous auto-injections: moxisylyte diminishes the risks compared to papaverine].[阴茎海绵体内自我注射治疗阳痿:与罂粟碱相比,莫西赛利降低了风险]
Contracept Fertil Sex. 1993 Feb;21(2):173-6.
2
Intracavernous pharmacotherapy: comparison of Moxisylyte and prostaglandin E1.
Int J Impot Res. 1996 Jun;8(2):41-6.
3
Safety of intracavernous injections using an alpha-blocking agent.使用α阻滞剂进行海绵体内注射的安全性。
J Urol. 1989 Jun;141(6):1364-7. doi: 10.1016/s0022-5347(17)41309-7.
4
[Prostaglandin E1 injection in erectile dysfunction. Current diagnostic and therapeutic possibilities].[前列腺素E1注射治疗勃起功能障碍。当前的诊断和治疗可能性]
Fortschr Med. 1990 Oct 20;108(30):577-80.
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Intracavernous self-injection pharmacotherapy program: analysis of results and complications.海绵体内自我注射药物治疗方案:结果与并发症分析
Int J Impot Res. 1994 Jun;6(2):81-91.
6
[Prolonged use of moxisylyte chlorhydrate (Icavex) by intracavernous self-injections in the treatment of impotence. Evaluation of long-term tolerance].[阴茎海绵体内自我注射盐酸莫西赛利(Icavex)治疗阳痿的长期应用。长期耐受性评估]
J Urol (Paris). 1996;102(4):151-6.
7
Biweekly intracavernous administration of papaverine for erectile dysfunction.每两周一次海绵体内注射罂粟碱治疗勃起功能障碍。
West J Med. 1989 Nov;151(5):515-7.
8
Intracavernous self-injection of papaverine and verapamil: a clinical experience.海绵体内注射罂粟碱和维拉帕米:临床经验
Acta Chir Hung. 1994;34(3-4):253-6.
9
[The treatment of impotence with auto-injections of papaverine].[阴茎海绵体内注射罂粟碱治疗阳痿]
Acta Urol Belg. 1986;54(3):309-13.
10
[Efficacy and tolerance of intracavernous injection of moxisylyte in patients with erectile dysfunction: double-blind placebo-controlled study].[阴茎海绵体内注射莫西赛利治疗勃起功能障碍患者的疗效及耐受性:双盲安慰剂对照研究]
Prog Urol. 1995 Dec;5(6):985-91.

引用本文的文献

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Pharmacologic treatment of erectile dysfunction.勃起功能障碍的药物治疗
Rev Urol. 2002;4 Suppl 3(Suppl 3):S17-25.
2
Intracavernous pharmacotherapy for erectile dysfunction.阴茎海绵体内药物治疗勃起功能障碍。
Endocrine. 2004 Mar-Apr;23(2-3):149-55. doi: 10.1385/ENDO:23:2-3:149.