Portal de Periódicos da CAPES

Bulbocavernosus Reflex to Somatic and Visceral Nerve Stimulation in Normal Subjects and in Diabetics With Erectile Impotence

1987; Lippincott Williams & Wilkins; Volume: 138; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(17)42987-9

1527-3792

Yakup Sarıca, Ismet Karacan,

Botulinum Toxin and Related Neurological Disorders

No AccessJournal of Urology1 Jul 1987Bulbocavernosus Reflex to Somatic and Visceral Nerve Stimulation in Normal Subjects and in Diabetics With Erectile Impotence Yakup Sarica, and Ismet Karacan Yakup SaricaYakup Sarica Current address: Yildiz Cad. 142/3, Kose Apt. Kat:2, Yesilyurt, Izmir, Turkey. More articles by this author , and Ismet KaracanIsmet Karacan More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)42987-9AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Bulbocavernosus reflex to stimulation of the vesicourethral junction and glans penis was recorded in 14 normal controls and 24 diabetic men complaining of erectile impotence. In all normal subjects the bulbocavernosus reflex to stimulation of these sites could be obtained, and mean latencies were 59.2 ± 8.0 msec, and 33.3 ± 3.7 msec., respectively (p less than 0.00001). A total of 66 per cent of the diabetics (16 patients) exhibited abnormal (delayed or absent) bulbocavernosus reflex to stimulation of the vesicourethral junction, while only 12.5 per cent (3 patients) had delayed response to glans penis stimulation. The latter tended to remain within normal limits, although the mean latency was significantly different from that of normal subjects (p less than 0.05). Abnormalities of the bulbocavernosus reflex to stimulation of the vesicourethral junction correlated strongly with the presence of peripheral and autonomic neuropathy, diabetes and organogenic impotence. Our results indicate that this is an informative test for the evaluation of visceral afferents arising from the bladder neck and, hence, in the differential diagnosis of organogenic versus psychogenic erectile impotence. © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByStief C, Bähren W, Scherb W and Gall H (2018) Primary Erectile DysfunctionJournal of Urology, VOL. 141, NO. 2, (315-318), Online publication date: 1-Feb-1989.Benson G (2018) Editorial CommentJournal of Urology, VOL. 141, NO. 2, (318-319), Online publication date: 1-Feb-1989. Volume 138Issue 1July 1987Page: 55-58 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Yakup Sarica Current address: Yildiz Cad. 142/3, Kose Apt. Kat:2, Yesilyurt, Izmir, Turkey. More articles by this author Ismet Karacan More articles by this author Expand All Advertisement Loading ...