Ferini-Strambi L, Montorsi F, Iannaccone S, Guazzoni G, Zucconi M, Smirne S, Rigatti P
Department of Neurology State University H San Raffaele, Milano, Italy.
Eur Urol. 1996;30(1):50-3. doi: 10.1159/000474144.
The audiovisual stimulation penogram seems to be an appropriate screening test for erectile failure. However, falsely abnormal findings in psychogenically impotent patients with severe excitement inhibition can be found. Since disinhibitory effects may occur after sleep deprivation, we evaluated RigiScan results during audiovisual stimulation before and after sleep deprivation in 36 psychogenically impotent men.
In our patients, sleep deprivation induced an increase in penile tumescence and rigidity before intracavernous injection of prostaglandin E1 as well as after the injection.
Our data suggest that sleep deprivation combined with vascular testing and visual stimulation might lead to more precise diagnosis in male impotence.
视听刺激阴茎勃起描记图似乎是一种适用于勃起功能障碍的筛查测试。然而,在患有严重性兴奋抑制的心因性阳痿患者中可能会出现假异常结果。由于睡眠剥夺后可能会出现去抑制作用,我们评估了36名心因性阳痿男性在睡眠剥夺前后视听刺激期间的RigiScan结果。
在我们的患者中,睡眠剥夺导致在海绵体内注射前列腺素E1之前以及注射后阴茎肿胀和硬度增加。
我们的数据表明,睡眠剥夺结合血管测试和视觉刺激可能会导致对男性阳痿更准确的诊断。