PMID: 9542689May 30, 1998Paper

Erectile dysfunction following Nd-YAG visual laser-assisted prostatectomy (VLAP)

International Journal of Impotence Research
J ChenH Matzkin

Abstract

We investigated if side fire Nd-YAG visual laser prostatectomy (VLAP) causes erectile dysfunction (ED) in patients who were sexually active prior to the procedure. The 36 study patients gave a detailed medical/sexual history: physical examination included bulbo-cavernous reflex (BCR) on rectal examination and routine blood tests. Lasing time, power of the applied laser beam (in watts), coagulation site and energy intensity were recorded. Patients with new onset ED during the one year study period underwent pudendal nerve conduction (PNC), color duplex Doppler ultrasonography, and NPT/RigiScan testing. In 6 out of 36 (16.7%) patients reporting significant post-operative ED, there was a tendency towards higher energy applied and longer lasing time but no correlation between prostate size or the site of energy application. Patients reported loss of night and/or morning erections (n = 5), retrograde ejaculations (n = 2), loss of ejaculate (n = 2), and decreased sensation of orgasm (n = 3). Three had abnormal PNC, duplex Doppler showed abnormal blood supply in four, and all six had abnormal NPT/RigiScan. We believe this is the first demonstration that VLAP may be associated with a high rate of ED and that the lasing time and intensi...Continue Reading

Citations

Sep 27, 2003·Cyberpsychology & Behavior : the Impact of the Internet, Multimedia and Virtual Reality on Behavior and Society·G RivaC Weddle
Oct 22, 2004·International Journal of Impotence Research·A Martin-MoralesJ Cortada
Jun 14, 2002·Behavior Research Methods, Instruments, & Computers : a Journal of the Psychonomic Society, Inc·Allen D TruellMelody W Alexander
Sep 8, 2006·Behavior Research Methods·Giuseppe RivaFabrizia Mantovani
Jul 8, 2021·Current Opinion in Urology·Mark TaratkinDmitry Enikeev

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