1 / 27

Evaluation of the impotent male.

Evaluation of the impotent male. Zafar Khan, MD. Beth Israel Medical Center, NYC. Evaluation of the impotent male. Medical and Psychosexual history. Physical examination: Nocturnal penile tumescence. Neurologic testing. Sacral Evoked response. Genitocerebral Evoked response.

ventana
Download Presentation

Evaluation of the impotent male.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Evaluation of the impotent male. Zafar Khan, MD Beth Israel Medical Center, NYC.

  2. Evaluation of the impotent male. • Medical and Psychosexual history. • Physical examination: • Nocturnal penile tumescence. • Neurologic testing. • Sacral Evoked response. • Genitocerebral Evoked response. • Hormonal Testing.

  3. Evaluation of the impotent male. • Nocturnal penile tumescence testing (NPT): • To distinguish psycogenic from organic causes. • NPT occurs during REM sleep, 4 to 5 erectile episodes per night, lasting longer than 30 min. • Increase of circumference greater than 3cm. • Increase of rigidity 70% of maximal.

  4. Evaluation of the impotent male. • Vascular Evaluation: • Pulsed Doppler analysis. • Duplex-Ultrasonography. • Arteriography. • Cavernosometry / Cavernosography.

  5. Evaluation of the impotent male. • Cavernosometry: • Injection of 10g PGE1. • Intracorporal pressure measurement (120mm Hg). • Corporal infusion (maintainance 5ml/min). • Pressure decay (< 45mm/Hg in 30 sec). • Cavernosography: • Infusion of contrast medium.

  6. Evaluation of the impotent male. • Neurological testing: • Biothesiometry: • Sensory perception of vibratory stimulation. • Sacral evoked response (BC reflex latency). • 30-40 mil/sec at 50 volts. • Genitocerebral evoked potential studies: • Cerebral response to dorsal penile nerve stimulation.

  7. Evaluation of the impotent male. ZAFAR KHAN, M.D. Phone: 212-420-1566 www.aboutsexualdysfunctions.com www.urologyandyou.com E-Mail: zafarkhan@urologyandyou.com

More Related