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 RigiscanⰒ over 2 consecutive nights. NPTR using RigiscanⰒ 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 RigiscanⰒ 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), RigiscanⰒ, |
|