MP47-10 THE COMPARISON OF ERECTILE FUNCTION BETWEEN RADICAL NEPHRECTOMY GROUP AND PARTIAL NEPHRECTOMY GROUP.
Author(s) -
Kei Matsushita,
Hideaki Miyake,
Takaki Ishida,
Kenta Sumii,
Teruo Fukuda,
Noritoshi Enatsu,
Koji Chiba,
Masato Fujisawa
Publication year - 2016
Publication title -
the journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.402
H-Index - 256
eISSN - 1527-3792
pISSN - 0022-5347
DOI - 10.1016/j.juro.2016.02.329
Subject(s) - nephrectomy , medicine , erectile dysfunction , erectile function , urology , renal function , surgery , kidney
vasoactive agent. The primary aim of the study was to construct agespecific CDDU parameters for patients without organic erectile dysfunction. METHODS: A retrospective review was conducted to identify patients without organic ED who underwent in-office testing with intracavernous pharmacologic erection augmented by visual sexual stimulation and CDDU over a 5 year period. Patients were further characterized by demographic and Doppler data. Specifically, CDDU characteristics including pre and post-visual stimulation peak systolic velocity (PSV) and resistive index (RI) were identified. Patients with post-visual stimulation PSV > 35cm/s and RI > 0.9 were included in the analysis. Pearson correlation test was used to evaluate the association between ordinal age groups with PSV and RI measurements. RESULTS: 259 patients with a mean age 53.7 and a mean BMI of 27.2 were found to have normal Doppler parameters (PSV>35cm/s, RI>.90). For the entire cohort, average post-visual stimulation PSV was 59.8 (35.0-115.5) and average RI was 0.99 (.9-1.0). A majority of patients had limited medical co-morbidities, with only 29%, 7%, and 10% reporting hypertension, Diabetes, and heart disease, respectively. Priapism, as defined by needing an injectable reversible agent, occurred in 93% of patients. Doppler parameters were then analyzed across sequential decades and when age was categorized to 70, a negative correlation coefficient was obtained for pre-visual stimulation PSV (-0.09, P1⁄40.164), post-visual stimulation PSV (-0.23, P1⁄40.005) and RI (-0.005, P1⁄4.937). Pre-visual stimulation, post-visual stimulation and RI were also stratified using age as continuous variable and with a cutoff of age 1⁄4 60 (Table 1). CONCLUSIONS: No patients were diagnosed with arterial insufficiency or cavernous venous occlusive disease. There appears to be an age-related decline in post-visual stimulation PSV. Characterization of Doppler parameters in patients without organic ED can be used to construct cutoffs to further define age-specific normalcy.
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