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 patients

Journal of Urology

Volumn 158, Issue 2, 1997, Pages 444-450

  Fabra, M ^a   Frieling, A ^a   Porst, H ^a   Schneider, E ^a  

^a Asklepios Klinik Harburg   (Germany)

Author keywords

Autonomic nervous system disorders; Electromyography; Muscle; Penis; Smooth

Indexed keywords

ADULT; AGED; ARTICLE; CORPUS CAVERNOSUM; DIAGNOSTIC VALUE; ELECTROMYOGRAM; ELECTROMYOGRAPHY; HUMAN; IMPOTENCE; MAJOR CLINICAL STUDY; MALE; NEUROLOGIC DISEASE; PENIS ERECTION; PRIORITY JOURNAL; REPRODUCIBILITY;

EID: 0030851475     PISSN: 00225347     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0022-5347(01)64498-7     Document Type: Article

References (22)

1. Bemelmans, B. L. H., Meulemann, E. J. H., Anten, B. W. M., Doesburg, W. H., van Kerrebroeck, P. E. V. and Debruyne, F. M. J.: Penile sensory disorders in erectile dysfunction: results of a comprehensive neuro-urophysiological diagnostic evaluation in 123 patients. J. Urol., 146: 777, 1991.
2. Blaivas, J. G., O'Donnel, T. F., Jr., Gottlieb, P. and Labib, K. B.: Measurement of bulbocavernosus latency times as part of a comprehensive evaluation of impotence. In: Vasculogenic Impotence: Proceedings of the First International Conference on Corpus Cavernosum Revascularization. Edited by A. W. Zorgniotti and G. Rossi. Springfield, Illinois: Charles C Thomas, chapt. 7, pp. 49-65, 1980.
3. Ertekin, C., Akyürekli, Ö., Gürses, A. N. and Turgut, H.: The value of somatosensory-evoked potentials and bulbocavernosus reflex in patients with impotence. Acta Neurol. Scand., 71: 48, 1985.
4. Fabra, M., Porst, H. and Schneider, E.: BCR-latencies and SSEP in erectile failure - sophisticated science or investigations of clinical relevance? Int. J. Impotence Res., suppl. 2, 2: 179, 1990.
5. Lavoisier, P., Proulx, J., Courtois, F. and De Carufel, F.: Bulbocavernosus reflex: its validity as a diagnostic test of neurogenic impotence. J. Urol., 141: 311, 1989.
6. Tackmann, W., Porst, H. and van Ahlen, H.: Bulbocavernosus reflex latencies and somatosensory evoked potentials after pudendal nerve stimulation in the diagnosis of impotence. J. Neurol., 235: 219, 1988.
7. Bührle, C. P., Jünemann, K. P., Schmidt, P., Persson-Jünemann, D. H. and Alken, P.: Elektromyographie des Corpus Cavernosum beim Hund: Probleme der Signalaufnahme, Verarbeitung Analyse. Akt. Urol., 24: 214, 1993.
8. Buvat, J., Quittelier, E., Lemaire, A., Buvat-Herbaut, M. and Marcolin, G.: Electromyography of the human penis, including single potential analysis, during flaccidity and erection induced by vasoactive agents. Int. J. Impotence Res., suppl. 2, 2: 85, 1990.
9. Djamilian, M., Freymann, H., Thon, F. W., Krah, H., Schlik, R., Stief, C. G. and Jonas, J.: Ergebnisse der operativen Therapie des venösen Lecks als Ursache von Erektionsstörugen. Urologe A, 32: 308, 1993.
10. Fabra, M., Porst, H. and Schneider, E.: Provokation durch Valsalva-Versuch, Shreck und Hyperventilation. Urologe A, suppl., 30: A81, 1991.
11. Fabra, M., Porst, H. and Schneider, E.: Befunde vor und nach Durchtrennung der Nn cavernosi im Rahmen der Radikalen Prostatektomie. Urologe, 32: 145, 1993.
12. Gerstenberg, T. C., Nordling, J., Hald, T. and Wagner, G.: Standardized evaluation of erectile dysfunction in 95 patients. J. Urol., 141: 857, 1989.
13. Jünemann, K. P., Bührle, C. P. and Stief, C. G.: Current trends in corpus cavernosum EMG. Conclusions of the First International Workshop on Smooth Muscle EMG Recordings/ Leiomyograms, April 15-17, 1993 in Mannheim, Germany. Int. J. Impotence Res., 5: 105, 1993.
14. Merckx, L., Schmedding, E., De Bruyne, F., Stief, C. and Keuppens, F.: Penile electromyography in the diagnosis of Impotence. Eur. Urol., 25: 124, 1994.
15. Stief C. G., Thon, W. F., Bischoff, R., Djamilian, M., Allhoff, E. P., Kramer, A. J. L. and Jonas, U.: Die Diagnose neurogen-autonom bedingter Erektionsstörungen. Akt. Urol., 21: 227, 1990.
16. Stief, C. G., Djamilian, M., Anton, P., de Riese, W., Allhoff, E. P. and Jonas, U.: Single potential analysis of cavernous electric activity in impotent patients: a possible diagnostic method for autonomic cavernous dysfunction and cavernous smooth muscle degeneration. J. Urol., 146: 771, 1991.
17. Stief, C. G., Thon, W., Djamilian, M., Allhoff, E. P. and Jonas, U.: Transcutaneous registration for cavernous smooth muscle electric activity: noninvasive diagnosis of neurogenic autonomic impotence. J. Urol., 147: 47, 1992.
18. Wagner, G., Gerstenberg, T. and Levin, R. J.: Electrical activity of corpus cavernosum during flaccidity and erection in the human penis: a new diagnostic method? J. Urol., 142: 723, 1989.
19. Wagner, G.: Contractility of myometrial transplants. In: Physiology and Genetics of Reproduction, Part B. Edited by E. M. Coutinho and F. Fuchs. New York: Plenum Publishing Co., chapt. 25, 1976.
20. Bacq, Z. M.: Récherches sur la physiologie et la pharmacologie du système nerveux autonome. XII. Nature cholinergique des diverses innervations vasomotrices du pénis chez le chien. Arch. Int. Physiol. Biochim., 11: 311, 1935.
21. Eckhard, C.: Untersuchungen über die Erection des penis beim Hunde. Beitr. Anat. Physiol., 3: 123, 1863.
22. Moreno, A. P., Campos de Carvalho, A. C., Christ, G. J., Melman, A., Herzberg, E. L. and Spray, D. C.: GAP junctions between human corpus cavernosum smooth muscle cells in primary culture: electrophysiological and biochemical characteristics. Int. J. Impotence Res., suppl. 2, 2: 55, 1990.