Controversies in Sexual Medicine: Use and Abuse of Rigiscan in the Diagnosis of Erectile Dysfunction

摘要: ABSTRACT Introduction Nocturnal penile tumescence and rigidity (NPTR, or, more simply, NPT) studies, with or without the help of a recording computer (Rigiscan), have been traditionally positioned at head several erectile dysfunction (ED) diagnostic flowcharts aim to distinguish between psychogenic organic etiology. Shall we continue consider these tools as gold standard in ED diagnosis? Methods Four scientists expertise and/or interest area pathophysiology diagnosis were asked contribute their opinions. Main Outcome Measure To give The Journal Sexual Medicine 's reader new stimuli reexamine still largely utilized tool sexual medicine's clinical practice. Results Of four experts discussing topic, first who is section editor Controversy section, believes that NPT/Rigiscan cannot be considered useful for differential ED. He supported by physiological considerations second expert experimental evidence produced discussed number questions accuracy, reliability, usefulness measure critical aspect erection physiology which adequate rigidity. In contrast, good arguments, third suggests use tools, perhaps not every man presenting ED, but least patient no neurovascular risk factors presents history suggestive cause. Conclusion will judge if expensive, complicated, time-consuming effort record nocturnal activity anymore orienting treatment choices. Jannini EA, Granata AM, Hatzimouratidis K, Goldstein I. Use abuse rigiscan dysfunction. J Sex Med 2009;6:1820–1829.