Twelve-month comparison of two treatments for erectile dysfunction: Self-injection versus external vacuum devices

Turner, Louisa A.; Althof, Stanley E.; Levine, Stephen B.; Bodner, Donald R.; Kursh, Elroy D.; Resnick, Martin I.

doi:10.1016/0090-4295(92)90270-7

Cited by 56 publications

(30 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The signi®cant increase in level of sexual satisfaction appears to be consistent with that recently reported by the PGE 1 -treated subjects in a study by Glick et al 9 It is also generally consistent with the ®ndings of Althof et al, 10,11 who in a series of studies found that sexual satisfaction increased with improved erectile ability in men who successfully used intracavernosal self-injection of papaverine and phentolamine. Glick and his colleagues 9 also found that their subjects' general quality of life increased somewhat (although not signi®cantly) while`interpersonal sensitivity' and`mental health' improved signi®cantly.…”

Section: Discussionsupporting

confidence: 80%

On life satisfaction in male erectile dysfunction

et al. 1997

View full text Add to dashboard Cite

A consecutive series of 413 impotent men and 109 References rated their satisfaction with life as a whole and with seven different domains of life along a six graded scale ranging from very satis®ed to very dissatis®ed. In a subsample of impotent men treated with PGE 1 these self-ratings were repeated applying the concept that dissatisfaction re¯ects an aspirations/achievement gap and successful treatment leads not only to increased sexual well-being but also to increased satisfaction with life as a whole. Regardless of the etiology of impotence pre-treatment level of sexual satisfaction was very low. In assumedly psychogenically impotent men levels of satisfaction with life as a whole, partnership and family life were also low. Using factor analytic technique satisfaction with sexual life was found to be a powerful predictor for satisfaction with life as a whole. In successfully PGE 1 -treated men pre-treatment decreased levels of satisfaction were signi®cantly increased and generally normalization occurred.

show abstract

Section: Discussionsupporting

confidence: 80%

On life satisfaction in male erectile dysfunction

et al. 1997

View full text Add to dashboard Cite

show abstract

“…The majority of published reports in this area concern the evaluation of specific diagnostic and therapeutic strategies. [1][2][3][4][5][6] Indeed, the field has advanced significantly in recent years with the advent of intracavernosal injection [7][8][9][10] and intraurethral therapy. 11 As health care increasingly moves to the primary care setting, generalists must be more attuned to the pathophysiology, treatments, and psychosocial impacts of erectile dysfunction in their patients.…”

mentioning

confidence: 99%

Health-related quality of life in men with erectile dysfunction

1998

View full text Add to dashboard Cite

OBJECTIVE:To assess health-related quality of life (HRQOL) in men with erectile dysfunction. DESIGN:Descriptive survey with general and disease-specific measures. The instrument contained three established, validated HRQOL measures, a validated comorbidity checklist, and sociodemographics. The RAND 36-Item Health Survey 1.0 (SF-36) was used to assess general HRQOL. Sexual function and sexual bother were assessed using the UCLA Prostate Cancer Index. The marital interaction scale from the Cancer Rehabilitation Evaluation System Short Form (CARES-SF) was used to assess each patient's relationship with his sexual partner. SETTING:Urology clinics at a university medical center and the affiliated Veterans Affairs (VA) Medical Center. PARTICIPANTS:Thirty-five (67%) of 54 consecutive university patients presenting for erectile dysfunction and 22 (42%) of 52 VA patients who were awaiting a previously prescribed vacuum erection device participated. MAIN RESULTS:The university respondents scored slightly lower than population normals in social function, role limitations due to emotional problems, and emotional well-being. The VA respondents scored lower than expected in all eight domains. Scores for the VA population were significantly lower than those for the university population in physical function, role limitations due to physical problems, bodily pain, and social function. A significant correlation was seen between marital interaction and sexual function ( r ‫؍‬ ؊ .33, p ‫؍‬ .01) but not between marital interaction and sexual bother ( r ‫؍‬ ؊ .15, p ‫؍‬ .26) in the total sample. Sexual function also correlated significantly with general health perceptions ( r ‫؍‬ .34, p ‫؍‬ .01), role limitations due to physical problems ( r ‫؍‬ .29, p ‫؍‬ .03), and role limitations due to emotional problems ( r ‫؍‬ .30, p ‫؍‬ .03). Sexual bother did not correlate with any of the general HRQOL domains. Affluent men reported better sexual function ( p ‫؍‬ .03). CONCLUSIONS:The emotional domains of the SF-36 are associated with more profound impairment than are the physical domains in men with erectile dysfunction. Erectile dysfunction and the bother it causes are discrete domains of HRQOL and distinct from each other in these patients. With increased attention to patient-centered medical outcomes, greater emphasis has been placed on such variables as HRQOL. This should be particularly true for a patient-driven symptom, such as erectile dysfunction.KEY WORDS: erectile dysfunction; impotence; health-related quality of life; medical outcomes. J GEN INTERN MED 1998;13:159-166.

show abstract

“…VED success has been seen in patients who had previously failed therapy with ICI, and use of the VED was also shown to have a significantly lower attrition rate than injections. 52,53 In patients who had failed oral medication or ICI as monotherapy, combination therapy with one of those and VED was shown to have a greater patient satisfaction rate. 54,55 VED has also been the only modality to be proven successful in patients who had earlier had an explanted penile implant.…”

Section: Role Of Vacuum Erection Devices T Lehrfeld and DI Leementioning

confidence: 99%

The role of vacuum erection devices in penile rehabilitation after radical prostatectomy

Lehrfeld

Lee

2009

Int J Impot Res

View full text Add to dashboard Cite

Even nerve-sparing radical prostatectomy damages the cavernous nerves and leads to temporary erectile dysfunction (ED) in men recovering from prostate cancer surgery. Historically, patients recovering from prostate cancer surgery have been advised that the return of erectile function (EF) can take from 6 to 18 months, or even longer. Unfortunately, the return of sexual function in these patients remains variable, but is generally thought to be dependent on the individual patient's pre-surgery EF, as well as the degree of cavernous nerve disruption during prostate removal. Recently, there has been a growing movement to proactively treat patients postoperatively for presumed nerve damage to stimulate nerve recovery and possibly reduce the degree of irreversible damage. This would reduce the on-demand therapy these patients would require, and hopefully remove the requirement for an implantable prosthesis. The underlying hypothesis is that the artificial induction of erections shortly after surgery facilitates tissue oxygenation, reducing cavernosal fibrosis in the absence of nocturnal erections, potentially increasing the likelihood of preserving EF. Vacuum erection devices (VED), because of their ability to draw blood into the penis regardless of nerve disturbance, have become the centerpiece of penile rehabilitation protocols. This review will discuss the pathophysiology of radical prostatectomy induced ED and the rationale for rehabilitation. It will then discuss current protocols, including those involving the VED.

show abstract

Twelve-month comparison of two treatments for erectile dysfunction: Self-injection versus external vacuum devices

Cited by 56 publications

References 17 publications

On life satisfaction in male erectile dysfunction

On life satisfaction in male erectile dysfunction

Health-related quality of life in men with erectile dysfunction

The role of vacuum erection devices in penile rehabilitation after radical prostatectomy

Contact Info

Product

Resources

About