THE ROLE OF INTRACAVERNOUS INJECTION OF VASOACTIVE MEDICATIONS FOR THE RESTORATION OF ERECTION IN SPINAL-CORD INJURED MALES - A 3 YEAR FOLLOW-UP

被引:22
作者
BODNER, DR
LEFFLER, B
FROST, F
机构
[1] Division of Urology, Department of Rehabilitation Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, 44124
来源
PARAPLEGIA | 1992年 / 30卷 / 02期
关键词
IMPOTENCE; SPINAL CORD INJURY; INTRACAVERNOUS INJECTIONS; PAPAVERINE;
D O I
10.1038/sc.1992.38
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Fifty-eight spinal cord injured men entered our self injection program for restoration of erections since the program began in September 1985. Early complications included sustained erection (> 8 hours) in 4 patients on 6 occasions requiring aspiration of the corpora cavernosa and injection of a dilute epinephrine solution (1/100,000). Bruising at the site of injection was reported at least once by 10 patients. Blood draining from the urethra was noted in 3 patients when the urethra was inadvertently injected. Rigid erections were obtained in all but 5 patients that injected (90%). Late complications included penile plaque in 3 patients (15%). There were no abnormal liver function tests. Average time on the injection program was 2 years (range of 0.5 to 4.5 years). Thirty-one (53%) of the patients have dropped out of the program, most doing so prior to the first injection or during the titration period. The average frequency of injection was twice a month. Injection therapy remains an effective and relatively safe alternative for selective patients with spinal cord injury.
引用
收藏
页码:118 / 120
页数:3
相关论文
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