Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment

سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 305

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شناسه ملی سند علمی:

JR_TUMS-3-2_007

تاریخ نمایه سازی: 16 مرداد 1400

چکیده مقاله:

Introduction: For erectile dysfunction (ED) treatment, Vacuum therapy (VT) utilizes negative pressure to distend the corporal sinusoids and to increase the blood inflow to the penis. In the current study, we evaluated the vacuum constrictive device (VCD) and intracavernosal injection (ICI) of papaverine for the treatment of ED. Methods: A total number of ۸۰ erectile dysfunctions (ED) were divided into ۴ groups of ۲۰ couples. The first group was treated with Papaverine who had a virgin wife (a). The second group was unconsummated marriage couples who were treated with vacuums (b). The third group was and the couples with experience of sexual intercourse who had been treated with Papaverine injection (c). The fourth group was the couples with experience of sexual intercourse that were treated with a vacuum device (d). Results: After ۴ months of treatment, all patients were able to have sex. In the unconsummated couples group treated with papaverine and consummated couples treated with papaverine, all of the indicators of the erectile function were significantly increased compared to pre-treatment (p-value<۰/۰۵). There were no significant differences between the two methods in terms of other complications such as ecchymosis, blisters, headache, cutaneous rash, and vaso-vascular shock (p-value>۰/۰۵). Conclusions: This study showed that in patients with erectile dysfunction who are having virgin spouses and who are not responding to the first line of oral medication that ۵-inhibitors phosphodiesterase can be the excellent candidate for ICI of vasoactive drugs therapy.

نویسندگان

Amir Ghasemlouei

General Surgery Department, Tehran University of Medical Sciences, Tehran, Iran

Feraidoon Khayyamfar

Urology Department,Shahed University of Medical Sciences, Tehran, Iran

Seyed Kazem Forootan

Urology Department,Shahed University of Medical Sciences, Tehran, Iran

Amir Mahdi Khayyamfar

Department of Medicine, Iran University of Medical Science, Tehran, Iran

Masood Vahdani

Department of Medicine, Iran University of Medical Science, Tehran, Iran

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