TY - JOUR T1 - Intracavernous Self - Injection With Papaverine For The Treatment Of Impotence TT - Erektil Disfonksiyonda Papaverin Self Enjeksiyon Tedavisinin Yeri AU - Sarıca, Kemal PY - 1990 DA - June JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 479 EP - 488 VL - 43 IS - 2 LA - en AB - To evaluate the efficacy and safety of intracavernous self - injection of papaverine for the treatment of impotence, we carried out aprospective study including 36 patients. Before selecting patients for self - injection therapy, the etiological classification of patients was determined. Then, we injected papaverin intracavernousally to the patients, we injected papaverine intracavernousally to the patients, who didn't have organic etiology. 36 patients who had complete erection after papaverine injection, were taken for self - injection therapy. The was no serious complication in the study group. The results of this indicate that, self - injection therapy with papaverine, for the treatment of nonvasculogenic erectile dysfunction is practical, safe and efficient. KW - nonvasculogenic KW - determined KW - selecting KW - papaverine KW - evaluate N2 - Erektil disfonksiyonun tedavisinde papaverin ile intrakavernosal self -enjeksiyon tedavisinin etkinlik ve emniyetini değerlendirmek amacıyla, 36 hasta üzerinde prospektif bir çalışma, gerçekleştirdik. Çalışmada erektil disfonksiyon yakınması ile başvuran hastaların önce etiyolojik sınıflandırılmaları yapıldı. Daha sonra organik bir etiyoloji saptanılamayan hastalara tedavi amacıyla intrakavernosal papaverin enjeksiyonu uygulandı. Bu uygulama sonucu fonksiyonel tam ereksiyon gelişen hastaların 36'sı self-enjeksiyon programına alındı. Bu uygulamadan da tatminkar sonuçlar sağlandı. Seride pek az olguda penis dorsal bölgesinde küçük ekimotik alanlar ve enjeksiyon sırasında hafif ağrı dışında ciddi bir komplikasyona rastlanilmadi. Erektil disfonksiyon tedavisinde, dzellikle organik bir etiyolojiye sahip olmayan hastalarda olmak tizere, papaverin ile self - enjeksiyon seklindeki tedavinin pratik, emniyetli ve etkili bir yéntem olabilecegi kanısına varıldı. CR - 1. Abber JC Lue FT Orvis BR Mc Clure RD Williams RD : Diagnostic tests for impotence : A comparison of papaverine injection with the penile-brachial index and Nocturnal penil tiimescence monitoring. J Urol 135 : 923, 1986. CR - 2. Abozeid M Juenemann KP Lue J Lue TF Yen BST Tanagho EA : Chronic papaverine treatment : The effect of repeated injections on the simian erectile response and penile tissue. J. Urol., 138 : 1263, 1987. CR - 3. Blum MD Bahnson RR Porter TN Carter MF : Effect of local alpha-adrenergic blockade on human penile erection. J Urol 134 : 479, 1885. CR - 4. Dennis RL Mc Dougal WS : Pharmacological treatment of erectile dysfunction after radical prostatectomy. J. Urol, 138 : 775, 1988. CR - 5. Duffy LM Sidi AA Lange PH : Vasoactive intracavernous pharmacotherapy. The nursing role in teaching self-injection therapy. J. Urol., 138 : 1198, 1987, CR - 6. Gasser TC Roach RM Larsen EH Madsen PO Bruskewitz RC : Intracavernous self-injection with Phentolamine and Papaverine for the treatment of impotence. J. Urol, 137 : 678, 1987. CR - 7. Larsen EH Gasser TC Bruskewitz BC : Fibrosis of corpus cavernosum after intracavernous injections of phentolamine/papaverine. J. Urol, 137 : 202, 1987. CR - 8. Nellans RE Ellis LR Levien DK : Pharmacological erection. Diagnosis and treatment applications in 69 patients. J. Urol., 138 : 52, 1987. CR - 9. Nelson RP : Nonoperative management of impotence. Review article. J. Urol, 139 : 2, 1988. CR - 10.Sidi AA Cameron SJ Duffy LM Lange PH : Intracavernous drunginduced erections in the management of male erectile dysfunction. J. Urol, 135 : 704, 1987. CR - 11.Sidi AA Reddy PK Chen KK : Patient acceptence of and satisfaction with vasoactive intracavernous pharmacotherapy for impotence. J. Urol, 140 : 293, 1988, CR - 12.Tanagho EA Lue TF : Physiology of erection and pharmacological management of impotence. (State of the art.) J. Urol., 137 : 829, 1987, CR - 13.The Urologic clinics of North America : Impotence : Feb., 98, 1988. CR - 14.This month in investigative Urology : Intracavernosal injection therapy for impotence. J Urol, 138 : 1262, 1967. CR - 15.Lue TF Makamura T Schmidt RA Palubinskas AJ Tanagho EA : Hemodynamics of erection in the monkey. J. Urol, 130 : 1237, 1983. CR - 16.Zorgniotti AW Lefleur RS : Auto-injection of the corpus cavernosum with a vasoactive drug comhbination for vas Togenic impotence. J. Urol, 133 : 39, 1985 UR - https://dergipark.org.tr/en/pub/autfm/issue//1723640 L1 - https://dergipark.org.tr/en/download/article-file/4976210 ER -