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Prostaglandin E1 with phentolamine for the treatment of erectile dysfunction
W Meinhardt1, R B de la Fuente, A A Lycklama à Nijeholt
1Academic Hospital Leiden, Urology Department and Pharmacy, The Netherlands.
Aim Of The Study:
to evaluate the feasibility of a self-injection programme for impotence with a combination of 10 micrograms prostaglandine E1 (PGE1) and 0.5 mg phentolamine.
Method:
follow-up at outpatients department with history taking, physical examination and questionnaires of 58 patients using this combination. Many patients could compare this drug combination with previously used drugs for intracavernous use.
Results:
42 patients started regular use. After a follow-up of 14 months, 26 are still on the programme. Drug related problems encountered: 10 patients reported insufficient erectile response, five patients have had priapism, four patients experienced severe pain, one patient developed fibrosis.
Conclusion:
the combination of PGE1 and phentolamine is very effective. The complication rate is comparable with those reported from PGE1 alone and from papaverine with phentolamine.