Author/Authors
ATEŞ, Mutlu Afyon Kocatepe Üniversitesi - Tip Fakültesi - Üroloji AD, Turkey , KARALAR, Mustafa Afyon Kocatepe Üniversitesi - Tıp Fakültesi - Üroloji AD, Turkey , YILDIRIM, Bünyamin Afyon Kocatepe Üniversitesi - Tıp Fakültesi - Üroloji AD, Turkey , PEKTAŞ, Fatih Afyon Kocatepe Üniversitesi - Tıp Fakültesi - Üroloji A D, Turkey , BAYKARA, Mehmet Afyon Kocatepe Üniversitesi - Tıp Fakültesi - Üroloji AD, Turkey , ERDOÐRU, Tibet Afyon Kocatepe Üniversitesi - Tıp Fakültesi - Üroloji AD, Turkey
Title Of Article
Could be Evaluated Erectile Response with Simultaneously Visual and Sensory Sexuel Stimulation “Rigi-Scan and Sildenafil Citrate Test”
شماره ركورد
42022
Abstract
Purpose: In this study, in erectile dysfunction (ED), test of audio-visual sexual stimulation (AVSS) effectiveness of diagnostic and treatment prior to predict the efficacy of Sildenafil citrate was investigated. Material and method: Voluntarily admitted to our clinic with complaints of ED in 2005-2006, 13 diabetic, 16 with vascular risk factors of 52 patients were included the study. The mean age was 55 (32-73). Detailed history, IIEF-5 form, the presence of night erections were questioned, hormone analysis was performed. Penile erections were recorded, by attaching RigiScan-Plus to the patients for 1 hour. AVSS test was performed in 3 stages; 1st stage, without any medical treatment to the patients, 2nd stage, given 50mg of Sildenafil citrate and 3rd stage, was given 100mg of Sildenafil citrate. Patients who were providing adequate erection at any stage, the AVSS test positive, patients could not enough erection in any stage, the AVSS test negative were considered. After AVSS test applied to patients, the intracavernosal injection test (ICE), penile Doppler ultrasound (PDU) and nocturnal penile tumescence test (NPT) was performed. Results: Adequate erections were achieved, in 5 patients (9.6%) both 1st and 2nd stage, 18 patients (34.6%) only 2nd stage and 10 patients (19.2%) in 3rd stage in AVSS test. As a result 33 patients (63.5%) tested positive; other 19 patients (36.5%) were negative in AVSS test. Only, NPT (p=0.028) and ICE (p 0.001) were found to be similar to the diagnostic efficiency with the AVSS test. Conclusions: AVSS test is a more useful test than, those have difficult implementation and invasive testing such as NPT and ICE. AVSS test being performed simultaneously with the PDE-5 inhibitors is important to predict the effectiveness of treatment. AVSS is a noninvasive, reliable test, offering objective data and easy to apply.
From Page
41
NaturalLanguageKeyword
erectile dysfunction , audio , visual sexual stimulation , Sildenafil
JournalTitle
Kocatepe Medical Journal
To Page
47
JournalTitle
Kocatepe Medical Journal
Link To Document