Lee W H, Kim Y C, Choi H K
Department of Urology, Yonsei University, Seoul, Korea.
Int J Impot Res. 1994 Jun;6(2):93-7.
The origin of impotence in unmarried patients is believed to be mostly psychogenic and has been diagnosed as such. However, we occasionally found that some of these patients showed clinical findings strongly suggesting an organic cause. We investigated the clinical spectrums of 160 unmarried impotent patients (145 psychogenic impotent patients and 15 primary organic impotent patients). The primary organic impotent patients had a history of unsuccessful sustained erections and intercourse without any trauma or definite associated medical disease, and showed abnormal findings in the audiovisual stimulation penogram (AVS-penogram), whereas only 66% (96/145) of the psychogenic group showed abnormal classification. The most common cause of primary organic impotence was vasculogenic. Primary organic impotence should be considered a specific disease for which comprehensive diagnostic methods are needed in unmarried impotent patients to differentiate it from psychogenic impotence.
未婚患者阳痿的病因大多被认为是心因性的，且一直以来都是如此诊断的。然而，我们偶尔发现其中一些患者的临床症状强烈提示存在器质性病因。我们对160例未婚阳痿患者（145例心因性阳痿患者和15例原发性器质性阳痿患者）的临床情况进行了调查。原发性器质性阳痿患者有持续勃起和性交不成功的病史，且无任何创伤或明确相关的内科疾病，在视听刺激阴茎硬度描记图（AVS-阴茎硬度描记图）上有异常表现，而心因性组只有66%（96/145）显示分类异常。原发性器质性阳痿最常见的病因是血管源性的。原发性器质性阳痿应被视为一种特定疾病，对于未婚阳痿患者需要采用综合诊断方法以将其与心因性阳痿区分开来。
