Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment

Introduction: For erectile dysfunction (ED) treatment, Vacuum therapy (VT) utilizes negative pressure to distend the corporal sinusoids and to increase the blood inflow to the penis. In the current study, we evaluated the vacuum constrictive device (VCD) and intracavernosal injection (ICI) of papave...

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Autores principales: Amir Ghasemlouei, Feraidoon Khayyamfar, Seyed Kazem Forootan, Amir Mahdi Khayyamfar, Masood Vahdani
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Publicado: Urology Research Center 2021
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spelling oai:doaj.org-article:32978572669a4b18a76d2cc6436883d12021-11-30T07:27:07ZComparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment10.22034/TRU.2021.292902.10702717-042Xhttps://doaj.org/article/32978572669a4b18a76d2cc6436883d12021-07-01T00:00:00Zhttps://www.transresurology.com/article_132982.htmlhttps://doaj.org/toc/2717-042XIntroduction: For erectile dysfunction (ED) treatment, Vacuum therapy (VT) utilizes negative pressure to distend the corporal sinusoids and to increase the blood inflow to the penis. In the current study, we evaluated the vacuum constrictive device (VCD) and intracavernosal injection (ICI) of papaverine for the treatment of ED. Methods: A total number of 80 erectile dysfunctions (ED) were divided into 4 groups of 20 couples. The first group was treated with Papaverine who had a virgin wife (a). The second group was unconsummated marriage couples who were treated with vacuums (b). The third group was and the couples with experience of sexual intercourse who had been treated with Papaverine injection (c). The fourth group was the couples with experience of sexual intercourse that were treated with a vacuum device (d). Results: After 4 months of treatment, all patients were able to have sex. In the unconsummated couples group treated with papaverine and consummated couples treated with papaverine, all of the indicators of the erectile function were significantly increased compared to pre-treatment (p-value<0.05). There were no significant differences between the two methods in terms of other complications such as ecchymosis, blisters, headache, cutaneous rash, and vaso-vascular shock (p-value>0.05). Conclusions: This study showed that in patients with erectile dysfunction who are having virgin spouses and who are not responding to the first line of oral medication that 5-inhibitors phosphodiesterase can be the excellent candidate for ICI of vasoactive drugs therapy.Amir GhasemloueiFeraidoon KhayyamfarSeyed Kazem Forootan Amir Mahdi Khayyamfar Masood VahdaniUrology Research Centerarticleerectile dysfunctionpapaverinevacuum constrictive deviceintracavernosal injectionDiseases of the genitourinary system. UrologyRC870-923ENTranslational Research in Urology, Vol 3, Iss 2, Pp 74-80 (2021)
institution DOAJ
collection DOAJ
language EN
topic erectile dysfunction
papaverine
vacuum constrictive device
intracavernosal injection
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle erectile dysfunction
papaverine
vacuum constrictive device
intracavernosal injection
Diseases of the genitourinary system. Urology
RC870-923
Amir Ghasemlouei
Feraidoon Khayyamfar
Seyed Kazem Forootan
Amir Mahdi Khayyamfar
Masood Vahdani
Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment
description Introduction: For erectile dysfunction (ED) treatment, Vacuum therapy (VT) utilizes negative pressure to distend the corporal sinusoids and to increase the blood inflow to the penis. In the current study, we evaluated the vacuum constrictive device (VCD) and intracavernosal injection (ICI) of papaverine for the treatment of ED. Methods: A total number of 80 erectile dysfunctions (ED) were divided into 4 groups of 20 couples. The first group was treated with Papaverine who had a virgin wife (a). The second group was unconsummated marriage couples who were treated with vacuums (b). The third group was and the couples with experience of sexual intercourse who had been treated with Papaverine injection (c). The fourth group was the couples with experience of sexual intercourse that were treated with a vacuum device (d). Results: After 4 months of treatment, all patients were able to have sex. In the unconsummated couples group treated with papaverine and consummated couples treated with papaverine, all of the indicators of the erectile function were significantly increased compared to pre-treatment (p-value<0.05). There were no significant differences between the two methods in terms of other complications such as ecchymosis, blisters, headache, cutaneous rash, and vaso-vascular shock (p-value>0.05). Conclusions: This study showed that in patients with erectile dysfunction who are having virgin spouses and who are not responding to the first line of oral medication that 5-inhibitors phosphodiesterase can be the excellent candidate for ICI of vasoactive drugs therapy.
format article
author Amir Ghasemlouei
Feraidoon Khayyamfar
Seyed Kazem Forootan
Amir Mahdi Khayyamfar
Masood Vahdani
author_facet Amir Ghasemlouei
Feraidoon Khayyamfar
Seyed Kazem Forootan
Amir Mahdi Khayyamfar
Masood Vahdani
author_sort Amir Ghasemlouei
title Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment
title_short Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment
title_full Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment
title_fullStr Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment
title_full_unstemmed Comparing the Effects of Vacuum Constrictive Devices and Intra-Cavernosal Injection of Papaverine for Erectile Dysfunction Treatment
title_sort comparing the effects of vacuum constrictive devices and intra-cavernosal injection of papaverine for erectile dysfunction treatment
publisher Urology Research Center
publishDate 2021
url https://doaj.org/article/32978572669a4b18a76d2cc6436883d1
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