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Journal of the Korean Academy of Rehabilitation Medicine 1987;11(2):10.
The Effect of Intracavernosal Injection of the Papaverine for Erectile Failure in Spinal Cord Injured Men
Sang Un Lee, M.D. , Kang Mok Lee, M.D.
Department of Rehabilitation Medicine, College of Medicine, Han Yang University
척수장애자에 대한 음경해면체내 파파베린주입에 의한 발기유발 효과 분석
이상운, 이강목
한양대학교 의과대학 재활의학교실

Thirteen spinal cord injured men with erectile failure were evaluated for the effect of intracavernosal injection of the papaverine. Findings were as following;

1) Average age was 39.1 years old, the oldest was 52, the youngest was 29.

2) The level of SCI; 10 person(63.5%) had thoracic cord level, 3 person(36.5%) had lumbar cord level.

3) Average penile length was 9.6 cm and circumference was 8.4 cm before injection. After the injection, average penile length and circumference was increased to 10.9 cm and 12.5 cm. The average increase of penile size was 2.8 cm in length and 2.4 cm in circumference.

4) Onset of erection were on 1-3 minutes after injection. The maximal erection were 2-15minutes and the mean was 8.5 minutes. The dosage did not affect the onset of erection or the maximal erection time.

5) The mean duration of erection time was 26 minutes with injection of 7.5 mg, 68 minutes with injection of 15 mg and 143 minutes with injection of 30 mg.

6) There were no effect in 2 person and prolonged erection(priapism) in one person.

7) By increased dosage prolonged duration of the erection time was obtained but no significant change of penile size and maximal erection time was obtained.

Key Words: Intracavernosal injection, Papaverine, Erectile failure, Spinal cord injury, Sexual problem


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