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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(5):544-548.
Nocturnal Penile Tumescense and Rigidity Testing for Evaluation of Erectile Dysfunction in Men with Spinal Cord Injury.
Kim, Hyung Joon , Lee, Bum Suk , Park, Chul Woo , Choi, Soo Won , Yi, Sook Hee , Kim, Hong Chae , Kim, Seung Su
Department of Rehabilitation Medicine, National Rehabilitation Center, Korea. mylostcity@naver.com
척수 손상으로 인한 발기부전의 평가를 위한 야간수면중발기검사
김형준, 이범석, 박철우, 최수원, 이숙희, 김홍채, 김승수
국립재활병원 재활의학과
Abstract
Objective
To evaluate erectile dysfunction in patients with spinal cord injury and the relationship between patient's subjective answers and the results of objective tests regarding erectile dysfunction.
Method
Twenty-one male patients with erectile dysfunction after spinal cord injury were administered with nocturnal penile tumescense and rigidity testing (NPTR) using Rigiscan over 2 consecutive nights. NPTR using Rigiscan at second night was performed after oral administration of sildenafil 50 mg. Answer of the global efficacy question (GEQ) after oral administration of sildenafil 50 mg and the parameters of NPTR were compared.
Results
After oral administration of sildenafil 50 mg, number and duration of erectile episodes, and duration of rigidity greater than 60% on NPTR improved significantly (p< 0.05). Sixteen out of seventeen patients (94.1%) who showed improved nocturnal erection after oral administration of sildenafil 50 mg answered that they had an improved erectile function after sildenafil. All four patients (100%) who showed no improvement in nocturnal erection after sildenafil answered that their erectile function was not improved after oral administration of sildenafil 50 mg.
Conclusion
We expect NPTR using Rigiscan might be useful for the evaluation of erectile dysfunction in men with spinal cord injury. (J Korean Acad Rehab Med 2008; 32: 544-548)
Key Words: Erectile dysfunction, Spinal cord injury, Nocturnal penile tumescense and rigidity testing (NPTR), Rigiscan,


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