[Value of the visual stimulation test (VST) as initial paraclinical test in the study of erectile impotence. Classification of psychogenic impotence using computerized rigidimetry. The value of thymoxamine].
Fifty impotent men between 21 and 65 years old, were all evaluated by nocturnal penile rigidity monitoring (NPRM) with Rigiscan on 2 to 3 successive nights. The results showed 37 normal graphs (74%), and 13 abnormal (26%). As these results confirmed the importance of psychogenic impotence, it was interesting to compare the results of nocturnal erections to those produced by the realtime screening test: the Visual Stimulation Test (VST). This test was done after intracavernous injection of Papaverine and Thymoxamine, alone or combined. The VST seems to be a good screening test. According to the response to VST, psychogenic patients were classified in three groups. This new classification had prognostic and therapeutic implications. The use of Thymoxamine alone at 5 mg or in combination with Papaverine (one mg of each), seems to give better results than Papaverine alone, with minimal pain.
Schouman
M
M
Amer
M
M
D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013948:Moxisylyte / Q000494:pharmacology; D010208:Papaverine / Q000494:pharmacology; D010410:Penile Erection / Q000187:drug effects; D010775:Photic Stimulation
D010208:Papaverine; D013948:Moxisylyte
Intérêt du test de stimulation visuelle (TSV) comme premier test paraclinique dans l'exploration d'une impuissance érectile. Classification des impuissances psychogènes à partir de la rigidimétrie informatisée. Intérêt de la Thymoxamine.