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Penile Sensory Disorders in Erectile Dysfunction: Results of a Comprehensive Neuro-Urophysiological Diagnostic Evaluation in 123 Patients

1991; Lippincott Williams & Wilkins; Volume: 146; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(17)37919-3

1527-3792

Bart L.H. Bemelmans, E.J.H. Meuleman, Bert W.M. Anten, Wim H. Doesburg, Philip E.V. van Kerrebroeck, F.M.J. Debruyne,

Psychosomatic Disorders and Their Treatments

No AccessJournal of Urology1 Sep 1991Penile Sensory Disorders in Erectile Dysfunction: Results of a Comprehensive Neuro-Urophysiological Diagnostic Evaluation in 123 Patients Bart L.H. Bemelmans, Eric J.H. Meuleman, Bert W.M. Anten, Wim H. Doesburg, Philip E.V. Van Kerrebroeck, and Frans M.J. Debruyne Bart L.H. BemelmansBart L.H. Bemelmans , Eric J.H. MeulemanEric J.H. Meuleman , Bert W.M. AntenBert W.M. Anten , Wim H. DoesburgWim H. Doesburg , Philip E.V. Van KerrebroeckPhilip E.V. Van Kerrebroeck , and Frans M.J. DebruyneFrans M.J. Debruyne View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37919-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A total of 123 patients with complaints of erectile dysfunction and no clinically overt neurological disease underwent a comprehensive neuro-urophysiological diagnostic evaluation. The results were compared with those obtained in 50 healthy volunteers. Data gathered consisted of somatosensory evoked potentials from the posterior tibial nerve (tibial evoked potential) and from the dorsal penile nerve (pudendal evoked potential). Also, 2 sacral reflex latencies were measured (bulbocavernosus reflex and urethro-anal reflex). A total of 58 patients (47%) had at least 1 abnormal neuro-urophysiological measurement. Neuro-urophysiological abnormalities were found more frequently in older patients. The tibial evoked potential was abnormal in 30 patients (24%), pudendal evoked potential in 21 (17%), bulbocavernosus reflex in 26 (21%) and urethro-anal reflex in 32 (26%). It was concluded that somatosensory disturbances constitute an important part of neuro-urophysiological abnormalities. Our results suggest a relationship between erectile dysfunction and subclinical, age-related (penile) sensory disorders. Our study corroborates the importance of penile sensibility for erectile (patho) physiology as suggested by others and supports the concept of sensory deficit impotence as an important cause of erectile dysfunction. © 1991 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByYANG C, BOWEN J, KRAFT G, UCHIO E and KROMM B (2018) CORTICAL EVOKED POTENTIALS OF THE DORSAL NERVE OF THE CLITORIS AND FEMALE SEXUAL DYSFUNCTION IN MULTIPLE SCLEROSISJournal of Urology, VOL. 164, NO. 6, (2010-2013), Online publication date: 1-Dec-2000.AMARENCO G and KERDRAON J (2018) PUDENDAL NERVE TERMINAL SENSITIVE LATENCY: TECHNIQUE AND NORMAL VALUESJournal of Urology, VOL. 161, NO. 1, (103-106), Online publication date: 1-Jan-1999.Fabra M, Frieling A, Porst H and Schneider E (2018) Single Potential Analysis of Corpus Cavernosum Electromyography for the Assessment of Erectile Dysfunction: Provocation, Reproducibility and Age Dependence-Findings in 36 Healthy Volunteers and 324 PatientsJournal of Urology, VOL. 158, NO. 2, (444-450), Online publication date: 1-Aug-1997.Bemelmans B, Hendrikx L, Koldewijn E, Lemmens W, Debruyne F and Meuleman E (2018) Comparison of Biothesiometry and Neurourophysiological Investigations for the Clinical Evaluation of Patients with Erectile DysfunctionJournal of Urology, VOL. 153, NO. 5, (1483-1486), Online publication date: 1-May-1995.Koldewijn E, Hommes O, Lemmens W, Debruyne F and Van Kerrebroeck P (2018) Relationship Between Lower Urinary Tract Abnormalities and Disease-Related Parameters in Multiple SclerosisJournal of Urology, VOL. 154, NO. 1, (169-173), Online publication date: 1-Jul-1995.Koldewijn E, Rosier P, Meuleman E, Koster A, Debruyne F and Van Kerrebroeck P (2018) Predictors of Success with Neuromodulation in Lower Urinary Tract Dysfunction: Results of Trial Stimulation in 100 PatientsJournal of Urology, VOL. 152, NO. 6 Part 1, (2071-2075), Online publication date: 1-Dec-1994.Koldewijn E, Van Kerrebroeck P, Bemelmans B, Notermans S, Lemmens W and Debruyne F (2018) Use of Sacral Reflex Latency Measurements in the Evaluation of Neural Function of Spinal Cord Injury Patients: A Comparison of Neuro-Urophysiological Testing and Urodynamic InvestigationsJournal of Urology, VOL. 152, NO. 2 Part 1, (463-467), Online publication date: 1-Aug-1994.Bemelmans B, Meuleman E, Doesburg W, Notermans S and Debruyne F (2018) Erectile Dysfunction in Diabetic Men: The Neurological Factor RevisitedJournal of Urology, VOL. 151, NO. 4, (884-889), Online publication date: 1-Apr-1994.Meuleman E, Bemelmans B, van Asten W, Doesburg W, Skotnicki S and Debruyne F (2018) Assessment of Penile Blood Flow by Duplex Ultrasonography in 44 Men with Normal Erectile Potency in different Phases of ErectionJournal of Urology, VOL. 147, NO. 1, (51-56), Online publication date: 1-Jan-1992.Bemelmans B, Van Kerrebroeck P, Notermans S, Wijkstra H and Debruyne F (2018) Motor Evoked Potentials from the Bladder on Magnetic Stimulation of the Cauda Equina: A New Technique for Investigation of Autonomic Bladder InnervationJournal of Urology, VOL. 147, NO. 3 Part 1, (658-661), Online publication date: 1-Mar-1992. Volume 146Issue 3September 1991Page: 777-782 Advertisement Copyright & Permissions© 1991 by The American Urological Association Education and Research, Inc.Keywordsevoked potentials, somatosensoryneurologypenile erectionimpotenceMetricsAuthor Information Bart L.H. Bemelmans More articles by this author Eric J.H. Meuleman More articles by this author Bert W.M. Anten More articles by this author Wim H. Doesburg More articles by this author Philip E.V. Van Kerrebroeck More articles by this author Frans M.J. Debruyne More articles by this author Expand All Advertisement Loading ...