scholarly journals Erecteur a dépression (Vacuum erection device): Mise au point

Andrologie ◽  
1999 ◽  
Vol 9 (1) ◽  
pp. 53-59
Author(s):  
D. Delavierre
2018 ◽  
Author(s):  
Matthew G Cowper ◽  
Andrew T Gabrielson ◽  
Laith M Alzweri ◽  
Wayne J Hellstrom

The management of erectile dysfunction has made tremendous strides over the past four decades, owing to concomitant advances in our understanding of the complex neurovascular, hormonal, and psychologic processes involved in penile erectile. The field has transitioned from predominantly psychotherapy-based management to focused treatment modalities that have been rigorously tested for both safety and efficacy in the clinical setting. The etiology of the erectile dysfunction must first be ascertained through careful history-taking, physical examination, laboratory testing, and in select cases, imaging. Once the etiology is known, the urologist has numerous options in their armamentarium to improve symptomatology and quality of life. The use of psychotherapy, pharmacologic therapy, injectable therapy, intraurethral suppositories, topical agents, and vacuum-assist erection devices can be used as monotherapy or in combination to tailor treatment to patient needs. Future directions in erectile dysfunction management are focusing on therapies that alter the course of the disease and permanently restore erectile function, rather than simply treating the symptomatology. The continued advancements taking place in the preclinical setting demonstrate considerable promise for the treatment and ultimate cure for this disease. This review contains 6 figures, 1 table, and 50 references. Key Words: alprostadil, emerging therapies, erectile dysfunction, intracavernosal injection therapy, intraurethral suppository, medical management, papaverine, phentolamine, phosphodiesterase-5 inhibitors, vacuum erection device, vasoactive intestinal peptide


2001 ◽  
Vol 166 (5) ◽  
pp. 1779-1781 ◽  
Author(s):  
JUZA CHEN ◽  
NICOLA J. MABJEESH ◽  
ALEXANDER GREENSTEIN

2019 ◽  
Vol 21 (5) ◽  
pp. 516 ◽  
Author(s):  
Jiu-Hong Yuan ◽  
Xing-Liang Yang ◽  
Yang Yang ◽  
Fu-Dong Fu ◽  
Chang-Jing Wu ◽  
...  

2007 ◽  
Vol 100 (4) ◽  
pp. 858-862 ◽  
Author(s):  
Tobias S. Köhler ◽  
Renato Pedro ◽  
Kari Hendlin ◽  
William Utz ◽  
Roland Ugarte ◽  
...  

2016 ◽  
Vol 20 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Bogdan Pajovic ◽  
Antonio Dimitrovski ◽  
Nikola Fatic ◽  
Milos Malidzan ◽  
Marko Vukovic

2016 ◽  
Vol 11 (3) ◽  
pp. 641-646 ◽  
Author(s):  
Haijun Deng ◽  
Dong Liu ◽  
Xiangming Mao ◽  
Xiaoliang Lan ◽  
Hao Liu ◽  
...  

The current study sought to clarify the role of phosphodiesterase type 5 inhibitors (PDE-5i) and a vacuum erection device (VED) in penile rehabilitation after laparoscopic nerve-preserving radical proctectomy (LNRP) for rectal cancer. Participants were assigned to one of the following arms—no-intervention, nightly use of sildenafil 25 mg for 3 months after surgery, or concurrent use of nightly sildenafil 25 mg/day for 3 months and a vacuum erection device (VED) 10 to 15 minutes/day for 3 months—in a nonrandomized fashion. All participants had a follow-up of over 12 months prospectively, and patients had baseline, 3-, 6-, and 12-month assessment based on the International Index of Erectile Function–5 (IIEF-5). Seventy-one cases were included in final analyses. In the no-intervention group, the mean baseline IIEF-5 score of 21.9 decreased rapidly to 5.0 at 3 months ( p < .001), 9.2 at 6 months ( p < .001), and stayed at 10.9 at 12 months ( p < .001). In the single therapy group, the mean baseline IIEF-5 score of 22.4 decreased dramatically to 9.0 at 3 months ( p < .001), 14.9 at 6 months ( p = .005), and stayed at 15.1 at 12 months ( p = .005). In the combined therapy group, the mean baseline IIEF-5 score of 23.0 decreased slightly to 15.0 at 3 months ( p = .005), 18.0 at 6 months ( p = .038), and maintained at 18.7 at 12 months ( p = .163). Findings suggested an over 50% decline in the quality of erection function of the patients after LNRP. The early use of PDE-5i alone or combined use of PDE-5i and VED after LNRP maintained erectile function at 12 months.


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