Intracavernous injection therapy in recovery of spontaneous erection (not for self-injection)--its mechanism and indications

Abstract

対象症例は, 来院順に過去に検査目的以外に陰茎海綿体内薬物投与が行われていなく, 海綿体内注射で勃起の得られる10人を選び, 週1回連続10週の塩酸パパベリン陰茎海綿体内投与を行った.10例中6例に勃起が回復し, 1例を除く5例は1年を経過した現在も性交が可能である.効果のあった症例は, 治療前のPenile-Brachial-Indexが低値を示し, 治療後は正常値を示す傾向にあった

Ten impotents underwent intracavernous injection therapy for recovery of spontaneous erection using papeverine hydrochloride alone or in combination with phentolamine. Six out of ten patients recovered spontaneous erection. Almost all respondents tended to have low initial penile-brachial-index values and their penile-brachial-index values rose after treatment. We concluded that periodic erections after using a vasoactive drug may have the effect of stimulating and activating the lethargic blood flow system and finally revitalizing the erectile organ.