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Can NPTR data predict the cause of organic impotence?
D Michielsen1, J J Wyndaele, B Verheyden
1Department of Urology, University Hospital of Antwerp, University of Antwerp, Edegem, Belgium.
Abstract:
Conventional diagnostic evaluation, including color duplex doppler ultrasound of the penile vessels, pharmaco-cavernosometry, intracavernosal drug testing and neurologic tests, were used to classify 78 patients with complaints of erectile impotence into one of the following three groups: non-organogenic, arteriogenic, vascular and neurogenic impotence. Nocturnal penile tumescence and rigidity (NPTR) measurements were also performed. Differentiation between patients with organic and non-organic impotence proved possible. The "best night" and "best erection" alone could not outline a pathognomonic pattern for the different causes of organic impotence.