ORIGINAL ARTICLE

Rehabilitation of the cavernous smooth muscle in patients with organic erectile dysfunction

  1. H. Salem1,
  2. T. Mostafa2

Article first published online: 19 MAY 2011

DOI: 10.1111/j.1439-0272.2010.01112.x

Additional Information

How to Cite

Salem, H. and Mostafa, T. (2011), Rehabilitation of the cavernous smooth muscle in patients with organic erectile dysfunction. Andrologia. doi: 10.1111/j.1439-0272.2010.01112.x

Author Information

  1. 1

     Urology Departments, Faculty of Medicine, Cairo University, Cairo, Egypt

  2. 2

     Andrology & Sexology Department, Faculty of Medicine, Cairo University, Cairo, Egypt

*Taymour Mostafa, Andrology & Sexology Department, Faculty of Medicine, Cairo University, Cairo 11562, Egypt. Tel.: +2 0105150297; Fax: +2 25325873; E-mail: taymour1155@link.net

Publication History

  1. Article first published online: 19 MAY 2011
  2. Accepted: July 22, 2010

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Keywords:

  • Cavernous tissue;
  • erectile dysfunction;
  • erection;
  • ICI;
  • sildenafil citrate;
  • vacuum device

Summary

This study aimed at assessing the effect of regular use of intracorporeal injection (ICI), sildenafil citrate and vacuum constriction device (VCD) on cavernous smooth muscle and erectile activity. One hundred and sixty-five patients with organic erectile dysfunction were investigated for 3 months. The patient and his partner were classified prospectively after proper counselling: group I (n = 56) received ICI twice per week; group II (n = 55) received sildenafil 100 mg twice per week; and group III (n = 54) used VCD twice per week. Duplex ultrasound was carried out before and after treatment, and then, the patients were followed up for a month to assess the resumption of unaided erection. The results showed that there was significant improvement in mean peak systolic velocity (PSV) and mean cavernosal artery diameter (CAD) at the end of the treatment in all groups, being higher in the ICI group than in the other two groups. Also, the percentage of patients who resumed unaided intercourse were higher in the ICI group compared with the other two groups (17.9%, 9.1% and 3.7% respectively). It is concluded that repeated regular use of ICI, sildenafil or VCD by patients with organic erectile dysfunction has a positive impact on their cavernous blood flow and erectile activity.

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