Document Detail


Treatment of erectile dysfunction following spinal cord injury.
MedLine Citation:
PMID:  19863861     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Spinal cord injury (SCI) has a significant impact on erectile dysfunction. Treatment modalities for individuals with SCI are similar to treatments for those without SCI. Some of the most common methods of management include penile implants, oral phosphodiesterase (PDE) inhibitors, vacuum devices, intraurethral prostaglandins, and intracavernous injections. In addition to the advantages and disadvantages of these various modalities for able-bodied men, there are special considerations for men with SCI. Penile implants may help to keep an external condom catheter in place and provide more penile stability for intermittent catheterization. However, they have an increased risk of infection. Semirigid rods have an increased risk of erosion. Although convenient to use, PDE inhibitors are usually not effective in lower motor injuries. The hypotensive effects of intraurethral prostaglandins and PDE inhibitors need to be considered in SCI men with injuries at or above T6. Intracavernous injections are very effective; however, men with SCI require much lower doses than able-bodied men.
Authors:
Todd A Linsenmeyer
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current urology reports     Volume:  10     ISSN:  1534-6285     ISO Abbreviation:  Curr Urol Rep     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100900943     Medline TA:  Curr Urol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  478-84     Citation Subset:  IM    
Affiliation:
Department of Urology, Kessler Institute for Rehabilitation, 1199 Pleasant Valley Way, West Orange, NJ 07052, USA. tlinsenmeyer@kessler-rehab.com
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