[Diagnosis of arteriogenic erectile dysfunction at the level of primary health care].
OBJECTIVE
To study relations between endothelial function of the brachial and cavernous arteries (BA and CA).


METHODS
The trial was made in 148 males with erectile dysfunction (ED) aged 21 to 80 years (a mean age 52.6 years) and 40 males aged 24 to 76 years (a mean age 50.2 years) with normal erection (the control group). A pathogenetic form of ED was determined in each patient. CA endothelium function was estimated in the patients and controls by an original technique of ultrasonic investigation of postcompression changes in CA diameter. Such changes were also estimated for BA diameter.


RESULTS
The correlation analysis of BA and CA endothelial function has not found significant correlations between BA and CA endothelial functions both in the groups and in all the examinees. Prevalence of systemic endothelial dysfunction in the controls and patients with psychogenic, neurogenic and vein-occusive ED was maximum 30% while in arteriogenic ED endothelial dysfunction was discovered in all the examinees.


CONCLUSIONS
In diagnosis of arteriogenic ED the study of BA endothelial function can not adequately replace such of CA, but the presence of BA endothelial dysfunction may be associated with CA endothelial dysfunction.
Mazo
E B
EB
Gamidov
S I
SI
Andranovich
S V
SV
Iremashvili
V V
VV
D000328:Adult; D000368:Aged; D001916:Brachial Artery / Q000503:physiopathology; D002318:Cardiovascular Diseases / Q000150:complications* / Q000503:physiopathology; D004730:Endothelium, Vascular / Q000503:physiopathology; D007172:Erectile Dysfunction / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D012720:Severity of Illness Index