Scheiber-Nogueira M C
Service d'Urologie, Hôpital Civil, Strasbourg.
Ann Urol (Paris). 1993;27(3):131-5.
A multispeciality approach of impotent patients are necessary to establish the cause of impotence. Neurological history and examination are very important and must be completed by neurophysiological investigations. Bulbo-cavernosus reflex, conduction velocity of the dorsal nerve of penis and pudendal evoked potentials seems the most interesting tests. Urodynamics, perineal EMG, penile vibratory sensibility test can help determination of some peripheral neuropathies. Single potential analysis of cavernous electric activity may be useful in diagnosis of pudendal autonomic dysfunction.
对于阳痿患者,采用多专科方法来确定阳痿病因是必要的。神经学病史和检查非常重要,且必须通过神经生理学检查来完成。球海绵体反射、阴茎背神经传导速度和阴部诱发电位似乎是最有意义的检查。尿动力学、会阴肌电图、阴茎振动感觉测试有助于某些周围神经病变的判定。海绵体电活动的单电位分析可能对阴部自主神经功能障碍的诊断有用。