Effects of Intracavernosal Pharmacotherapy on Self-Esteem, Performance Anxiety and Partnership in Patients with Chronic Erectile Dysfunction

Die Behandlung von SKAT-Non-Respondern mit einem Papaverin/Phentolamin/Prostaglandin E1-Gemisch

“…Nach Abschluß der Diagnostikphase begannen nur 22/43 Patienten eine SKAT-Theapie, die primäre Rejektionsrate lag somit bei 49% und damit geringfügig über den bekannten Literaturdaten für die Monosubstanzen [2,4,7,14,15,17,18]. Neben den in der BRD hohen Kosten dieser Therapieform (ca.…”

Commentary

“…Many also maintain that men who use injection therapy will reduce their performance anxiety, and then achieve fium erections without medication. In fact, available data suggest that men with psychogenic erectile dysfunction rarely have remission of their erectile dysfunction during intracavemous injection therapy; 2 out of 15 in one case series (Turner et al, 1989) and 7 out of 156 men of varying etiology in another (Bahren, Scherb, Gall, Beckert, & Holzki, 1989). Perhaps a combination of sex therapy with the use of injections would be helpful for men with psychogenic erectile dysfunction.…”

“…Patient satisfaction with vacuum devices (Turner et al, 1991), penile self-injection programs (Bahren et al, 1989;Turner et al, 1989), or penile prostheses (Schover, 1989) is measured. Drug studies are…”

Pharmacologic Erection Programs: A Treatment Option for Erectile Dysfunction

“…Two studies have shown 4.5% and 14% cure rates respectively in psychogenic impotence (Bahren, Scherb, Gall, Berkert, & Holzki, 1988;Turner et al, 1988). While a PEP improves relationships and feelings of well-being and decreases anxiety, according to Bahren et al (1988) and Turner et al (1988), psychological dependence on the program can occur. Further more, the program cannot directly eliminate the original source of the psychogenic symptom.…”