STUDIES ON MALE SEXUAL IMPOTENCE
Report 12. A Screening Method of Organic Impotence for the Penothermocurve
1983 Volume 74 Issue 4 Pages 640-648
Details
1983 Volume 74 Issue 4 Pages 640-648
The authors screened organic impotence by applying penothermocurve which reveals increases in blood flow in the penis attending its erection as changes in the skin temperature of the penis with time, using contact multi-point thermorecorder. The results revealed that in 34 out of 36 controls with no sexual problems, a rapid increase in the temperature of the penis (normal reaction type) due to V. S. S. load was observed.
Ninety-five out of 140 cases of impotence showed normal reaction type and were diagnosed as functional impotence, though 6 cases of penis disease had coital disturbance. In 21 out of the remaining 45 cases, temperature increase due to V. S. S. load occurred, which was not preserved or temperature increase was very mild (labile reaction type), and in the remaining 24 cases, no reaction at all was observed (non reaction type). Searching these impotences in detail, in 56 (86.2%) out of the 65 cases without organic factors making impotence, normal reaction was shown, but even in the remaining abnormal reaction group, all cases except one were diagnosed as functional impotence by other test methods. All 6 cases of mental diseases showed normal reaction, but normal reaction was observed even in 33 (47.8%) out of the 69 cases with organic factors making impotence. In these cases, organic factors making impotence were present but no abnormalities in the pudendal nervous system were proved. Therefore, they were diagnosed as functional impotence except those of penis disease. Most of the remaining cases of abnormal reaction were considered to have disturbance in the central and peripheral nervous system.
This test method simplifies the examination of impotence including variouns examinations and tests and requiers no special equipment. Therefore, it should be used widelys. The results of the test have the advantages of recognizing at a look the fact that the penis was erected, which can be utilized as part of treating functional impotence.
