Saline-induced artificial erection without papaverine: a potential source of error in diagnosing cavernosal venous leakage.
The diagnosis of venous leakage as a cause of impotence, based on failure to induce an artificial erection by means of rapid saline infusion alone, may be invalid. Our recent experience with 2 men whose impotence was subsequently found to be psychogenic in nature suggests that saline erection cavernosometry should routinely incorporate the intracavernosal administration of papaverine, in order to avoid a falsely positive diagnosis of venous leakage.
Desai
K M
KM
Department of Urology, Southmead Hospital, Bristol.
Gingell
J C
JC
D000328:Adult; D007172:Erectile Dysfunction / Q000209:etiology* / Q000503:physiopathology; D005189:False Positive Reactions; D006801:Humans; D008297:Male; D008875:Middle Aged; D010208:Papaverine; D010410:Penile Erection; D010413:Penis / Q000098:blood supply*; D012039:Regional Blood Flow; D012965:Sodium Chloride
D012965:Sodium Chloride; D010208:Papaverine