Document Detail


Topical prostaglandin-E1 for the treatment of erectile dysfunction.
MedLine Citation:
PMID:  7752328     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was undertaken as a phase I, placebo controlled, nonblinded investigation of the safety and efficacy of topical prostaglandin-E1 for the treatment of erectile dysfunction. Nine men with erectile dysfunction secondary to spinal cord injury and 1 man with mild arterial insufficiency were enrolled in the trial and underwent color flow Doppler ultrasound of the penis after application of topical prostaglandin-E1 to the penis, scrotum and perineum. Eight men completed all phases of the study. Mean cavernous artery diameter increased from 0.09 to 0.11 cm. (p < 0.05) and mean peak systolic flow velocity increased from 15.4 to 22.8 cm. per second (p < 0.05) using color flow Doppler ultrasound. Peak systolic flow velocity increased in both cavernous arteries in 7 of 10 patients. Clinical erections were observed in 2 patients but they were not present with placebo application. Diastolic blood pressure and heart rate varied after application of prostaglandin-E1 to the genitalia. No patient was symptomatic and no adverse skin effects were observed in the 8 patients completing all phases of the study. In conclusion, topical prostaglandin-E1 appears to be safe and well tolerated after application to the genitalia, and significantly increases blood flow to the penis. Further investigation is being pursued.
Authors:
E D Kim; K T McVary
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Publication Detail:
Type:  Clinical Trial; Clinical Trial, Phase I; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of urology     Volume:  153     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-06-16     Completed Date:  1995-06-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1828-30     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, Northwestern University Medical School, Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
Administration, Cutaneous
Adult
Alprostadil / administration & dosage*,  adverse effects
Erectile Dysfunction / drug therapy*,  physiopathology,  ultrasonography
Humans
Male
Middle Aged
Ultrasonography, Doppler, Color
Chemical
Reg. No./Substance:
745-65-3/Alprostadil
Comments/Corrections
Comment In:
J Urol. 1995 Jun;153(6):1841-2   [PMID:  7752330 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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