Probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function
Abstract Erectile dysfunction (ED) is mostly due to the lack of blood flow into the penis. In the past 20 years, near-infrared spectroscopy (NIRS) was used in measuring the concentrations and temporal dynamics of different hemoglobin types. However, the dynamics of the light absorption (photoplethys...
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2021
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oai:doaj.org-article:7704d354cd83447d8eedc5d60a9750632021-12-02T17:30:41ZProbing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function10.1038/s41598-021-91582-92045-2322https://doaj.org/article/7704d354cd83447d8eedc5d60a9750632021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-91582-9https://doaj.org/toc/2045-2322Abstract Erectile dysfunction (ED) is mostly due to the lack of blood flow into the penis. In the past 20 years, near-infrared spectroscopy (NIRS) was used in measuring the concentrations and temporal dynamics of different hemoglobin types. However, the dynamics of the light absorption (photoplethysmography; PPG) have not been applied to survey penile hemodynamics and erection quality. This paper compared the use of photoplethysmography (PPG) to study vascular ED with standard penile Doppler ultrasonography. Men diagnosed with vascular ED for at least 6 months and nominated for penile ultrasonography were included. PPG signals were collected during the ultrasound examination. All beat-to-beat PPG waveforms were aligned with the peak and averaged to one representative template waveform for feature analysis, including amplitude differences (APD) index, reflection time index (RTI), augmentation index (AI), and perfusion index (PI). An inverse correlation was found between end-erection amplitude and both erection hardness score (EHS) and resistive index (RI). APD index and EHS as well as the international index of erectile function-5 (IIEF) and RI were positively correlated. RTI and AI were inversely correlated to IIEF and RI. PI was positively correlated to RI. PPG may therefore be useful as a noninvasive, convenient, technique for sexual function evaluation.Yuan-Hung PongYi-Kai ChangChing-En HsuPo-Cheng ChenYu-Chuan LuVincent F. S. TsaiHong-Chiang ChangMen-Tzung LoChen LinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021) |
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Medicine R Science Q Yuan-Hung Pong Yi-Kai Chang Ching-En Hsu Po-Cheng Chen Yu-Chuan Lu Vincent F. S. Tsai Hong-Chiang Chang Men-Tzung Lo Chen Lin Probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function |
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Abstract Erectile dysfunction (ED) is mostly due to the lack of blood flow into the penis. In the past 20 years, near-infrared spectroscopy (NIRS) was used in measuring the concentrations and temporal dynamics of different hemoglobin types. However, the dynamics of the light absorption (photoplethysmography; PPG) have not been applied to survey penile hemodynamics and erection quality. This paper compared the use of photoplethysmography (PPG) to study vascular ED with standard penile Doppler ultrasonography. Men diagnosed with vascular ED for at least 6 months and nominated for penile ultrasonography were included. PPG signals were collected during the ultrasound examination. All beat-to-beat PPG waveforms were aligned with the peak and averaged to one representative template waveform for feature analysis, including amplitude differences (APD) index, reflection time index (RTI), augmentation index (AI), and perfusion index (PI). An inverse correlation was found between end-erection amplitude and both erection hardness score (EHS) and resistive index (RI). APD index and EHS as well as the international index of erectile function-5 (IIEF) and RI were positively correlated. RTI and AI were inversely correlated to IIEF and RI. PI was positively correlated to RI. PPG may therefore be useful as a noninvasive, convenient, technique for sexual function evaluation. |
format |
article |
author |
Yuan-Hung Pong Yi-Kai Chang Ching-En Hsu Po-Cheng Chen Yu-Chuan Lu Vincent F. S. Tsai Hong-Chiang Chang Men-Tzung Lo Chen Lin |
author_facet |
Yuan-Hung Pong Yi-Kai Chang Ching-En Hsu Po-Cheng Chen Yu-Chuan Lu Vincent F. S. Tsai Hong-Chiang Chang Men-Tzung Lo Chen Lin |
author_sort |
Yuan-Hung Pong |
title |
Probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function |
title_short |
Probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function |
title_full |
Probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function |
title_fullStr |
Probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function |
title_full_unstemmed |
Probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function |
title_sort |
probing penile hemodynamics by using photoplethysmography as objective indicators for male erection quality and sexual function |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/7704d354cd83447d8eedc5d60a975063 |
work_keys_str_mv |
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1718380735245582336 |