|
KMID : 0358319920330020345
|
|
Korean Journal of Urology
1992 Volume.33 No. 2 p.345 ~ p.349
|
|
|
Response to Audiovisual Stimulation in Patients with Premature Ejaculation
|
|
|
|
|
Abstract
|
|
|
Twenty-nine premature ejaculation patients entered this study using audiovisual stimulation penogram (AVS-Penogram) to evaluate their dynamic blood flows in the penis. The patients, ages twenty-seven through fifty-two(average 34 years),
complained
of
short time-to-coital ejaculation less than 90 seconds. We performed Bulbocavernosus Reflex Latency (BCRL) and Pudendal Nerve Somatosensory Evoked Potential (DNSEP) test in nineteen of them. According to the results of audiovisual stimulation
penogram
the patients were classified into two group: fifteen patients had type I (normal) finding and fourteen patients had type IIB(unstable erection due to severe fluctuation in blood flow) finding. Five patients(33%) of fifteen patients with type I
(norma0
penogram and eleven patients (78%) of fourteen patients with unstable type IIB penogram complained of concomitant erectile failure (p<0.05). The age, time-to-coital ejaculation and the results of expressed prostatic secretion(EPS) were not
statistically
between above two groups. Furthrumore, all cases in whom BCRL and DNSEP was performed had normal results in both tests. This study indicates that premature ejaculation can occur combined with orgainc erectile failure seeing that the patients show
an
unstable hemodynamics, and that in such case premature ejaculation has to be treated with underlying organic causes of impotence.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
  
|
|
|
Listed journal information
|
|
  
|