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The vascular and neurogenic factors associated with erectile dysfunction in patients after pelvic fractures

Overview of attention for article published in International Brazilian Journal of Urology, January 2015
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Title
The vascular and neurogenic factors associated with erectile dysfunction in patients after pelvic fractures
Published in
International Brazilian Journal of Urology, January 2015
DOI 10.1590/s1677-5538.ibju.2014.0170
Pubmed ID
Authors

Yong Guan, Sun Wendong, Shengtian Zhao, Tongyan Liu, Yuqiang Liu, Xiulin Zhang, Mingzhen Yuan

Abstract

Erectile dysfunction (ED) is a common complication of pelvic fractures. To identify the vascular and neurogenic factors associated with ED, 120 patients admitted with ED after traumatic pelvic fracture between January 2009 and June 2013 were enrolled in this study. All patients answered the International Index of Erectile Function (IIEF-5) questionnaire. Nocturnal penile tumescence (NPT) testing confirmed the occurrence of ED in 96 (80%) patients on whom penile duplex ultrasound and neurophysiological testing were further performed. Of these ED patients 29 (30%) were demonstrated only with vascular abnormality, 41 (42.7%) were detected only with neural abnormality, 26 (27.1%) revealed mixed abnormalities. Of the 55 patients (29+26) with vascular problems, 7 patients (12.7%) with abnormal arterial response to intracavernous injection of Bimix (15mg papaverine and 1mg phentolamine), 31 (56.4%) with corporal veno-occlusive dysfunction and 17 (30.9%) had both problems. Of the 67 (41+26) patients with abnormal neurophysiological outcomes, 51 (76.1%) with abnormal bulbocavernosus re?ex (BCR), 20 (29.9%) with pathological pudendal nerve evoked potentials (PDEPs) and 25 (37.3%) with abnormal posterior tibial somatosensory nerve evoked potentials (PTSSEPs). Our observation indicated that neurogenic factors are important for the generation of ED in patients with pelvic fracture; venous impotence is more common than arteriogenic ED.

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Geographical breakdown

Country Count As %
Unknown 25 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 24%
Student > Postgraduate 5 20%
Student > Bachelor 4 16%
Student > Doctoral Student 2 8%
Other 2 8%
Other 0 0%
Unknown 6 24%
Readers by discipline Count As %
Medicine and Dentistry 16 64%
Neuroscience 1 4%
Biochemistry, Genetics and Molecular Biology 1 4%
Unknown 7 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 December 2015.
All research outputs
#17,285,668
of 25,373,627 outputs
Outputs from International Brazilian Journal of Urology
#356
of 726 outputs
Outputs of similar age
#220,161
of 359,528 outputs
Outputs of similar age from International Brazilian Journal of Urology
#33
of 58 outputs
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