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J R Soc Med. 1990 January; 83(1): 22–24.
PMCID: PMC1292459

Pharmacocavernometry in the assessment of erectile impotence.


Thirty-three impotent men underwent pharmacocavernometry and cavernography. Ten patients had a good clinical response to 60 mg papaverine, nine had a moderate clinical response and in 14, the response was judged to be a poor one. Twelve patients had evidence of abnormal venous leakage from the corpora. Subsequent investigation with isotope phallography showed six patients to have arterial insufficiency and in three of these patients this was amenable to reconstructive vascular surgery. We conclude that pharmacocavernometry provides a useful, cheap and reliable method for the investigation of impotent men which may be performed on an outpatient basis.

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Selected References

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  • Virag R. Intracavernous injection of papaverine for erectile failure. Lancet. 1982 Oct 23;2(8304):938–938. [PubMed]
  • Williams G. Erectile dysfunction: diagnosis and treatment. Br J Urol. 1987 Jul;60(1):1–5. [PubMed]
  • Wespes E, Schulman CC. Venous leakage: surgical treatment of a curable cause of impotence. J Urol. 1985 May;133(5):796–798. [PubMed]
  • Goldstein I. Arterial revascularization procedures. Semin Urol. 1986 Nov;4(4):252–258. [PubMed]
  • Williams G, Mulcahy MJ, Hartnell G, Kiely E. Diagnosis and treatment of venous leakage: a curable cause of impotence. Br J Urol. 1988 Feb;61(2):151–155. [PubMed]
  • Wespes E, Schulman CC. Parameters of erection. Br J Urol. 1984 Aug;56(4):416–417. [PubMed]
  • Wespes E, Delcour C, Struyven J, Schulman CC. Pharmacocavernometry-cavernography in impotence. Br J Urol. 1986 Aug;58(4):429–433. [PubMed]

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