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Non-invasive management of organic impotence
F J Kaplan1, N S Levitt, P J Stevens
1Department of Medicine, University of Cape Town.
Objective:
To establish the efficacy of a vacuum device (ErecAid) in the management of organic impotence.
Design:
Cohort study; questionnaire before and after a 6-month study period.
Setting:
Groote Schuur Hospital, Cape Town.
Participants:
A total of 19 men with organic impotence, 8 diabetic and 11 with previous pelvic surgery or radiotherapy.
Intervention:
Vacuum device (ErecAid, Osbon Medical Systems).
Outcome Measure:
Efficacy of ErecAid.
Results:
Six of 8 diabetics and 6 of 11 non-diabetics reported successful intercourse, while 16 of the participants would recommend the device to others. Some difficulty with the device was experienced by 11 and only 9 described an increase in self-esteem.
Conclusion:
Although some difficulties may be experienced in the use of the ErecAid, it clearly has a role to play in the management of patients with organic impotence, who ideally should be able to select their preferred form of therapy.
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