Opiate antagonists in erectile dysfunction: a possible new treatment option? Results of a pilot study with naltrexone.

Abstract:

:Opioids have an inhibitory effect on sexual functions in both animals and humans. Twenty patients with idiopathic, nonvascular, nonneurogenic erectile dysfunction were treated with the opiate receptor antagonist naltrexone in a randomized, placebo-controlled, double-blind study for 8 weeks. Libido and frequency of sexual intercourse were not significantly altered, but early-morning erections increased significantly under naltrexone therapy. This response was not related to levels of androgens or gonadotropins, neither was it dose dependent. There was no change in any of the measured parameters under placebo. Further clinical studies with the substance should be conducted to evaluate its possible role in the oral treatment of male impotence.

journal_name

Eur Urol

journal_title

European urology

authors

van Ahlen H,Piechota HJ,Kias HJ,Brennemann W,Klingmüller D

doi

10.1159/000475059

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

246-50

issue

3

eissn

0302-2838

issn

1873-7560

journal_volume

28

pub_type

临床试验,杂志文章,随机对照试验
  • Combined androgen blockade is the treatment of choice for patients with advanced prostate cancer: the argument for.

    abstract::Combined androgen blockade (CAB) is becoming standard treatment for patients with newly diagnosed advanced prostate cancer. This statement is based on the outcome and long-term evaluation of patients treated in prospective randomised trials. Particularly, patients with 'good' prognostic signs at the time of diagnosis ...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1159/000473836

    authors: Debruyne FM

    更新日期:1996-01-01 00:00:00

  • Two-year follow-up of a prospective randomised trial of electrovaporization versus resection of prostate.

    abstract:OBJECTIVES:Transurethral electrovaporization of the prostate (TUVP) has become a popular, minimally invasive procedure to treat BPH with promising initial results. This study was conducted to compare the efficacy, safety and durability of TUVP with standard TURP. We report the 2-year follow-up. METHODS:104 consecutive...

    journal_title:European urology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000019710

    authors: Hammadeh MY,Madaan S,Singh M,Philp T

    更新日期:1998-09-01 00:00:00

  • Genetic Variants Related to Longer Telomere Length are Associated with Increased Risk of Renal Cell Carcinoma.

    abstract:BACKGROUND:Relative telomere length in peripheral blood leukocytes has been evaluated as a potential biomarker for renal cell carcinoma (RCC) risk in several studies, with conflicting findings. OBJECTIVE:We performed an analysis of genetic variants associated with leukocyte telomere length to assess the relationship b...

    journal_title:European urology

    pub_type: 杂志文章,meta分析,多中心研究

    doi:10.1016/j.eururo.2017.07.015

    authors: Machiela MJ,Hofmann JN,Carreras-Torres R,Brown KM,Johansson M,Wang Z,Foll M,Li P,Rothman N,Savage SA,Gaborieau V,McKay JD,Ye Y,Henrion M,Bruinsma F,Jordan S,Severi G,Hveem K,Vatten LJ,Fletcher T,Koppova K,Larsso

    更新日期:2017-11-01 00:00:00

  • Orthotopic kidney transplantation: an alternative surgical technique in selected patients.

    abstract:BACKGROUND:A renal transplant is the treatment of choice for patients with end-stage renal disease due to its superior short- and long-term survival benefits compared with dialysis treatment. A common trend for kidney transplantation in developed countries is an increasing acceptance of older patients, patients with co...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2010.09.023

    authors: Musquera M,Peri LL,Alvarez-Vijande R,Oppenheimer F,Gil-Vernet JM,Alcaraz A

    更新日期:2010-12-01 00:00:00

  • Treatment of varicocele: a prospective randomized comparison of laparoscopy versus antegrade sclerotherapy.

    abstract:OBJECTIVES:To compare the therapeutic success, the morbidity and the costs of antegrade sclerotherapy versus laparoscopic varicocelectomy. METHODS:Seventy-six consecutive varicocele patients were randomly assigned to two treatment arms. Preoperative and 3 month postoperative sperm density, motility and morphology were...

    journal_title:European urology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0302-2838(02)00022-2

    authors: Sautter T,Sulser T,Suter S,Gretener H,Hauri D

    更新日期:2002-04-01 00:00:00

  • Identification of androgen receptors in the motoneurons of the external urethral sphincter in the spinal cord of female rats.

    abstract:OBJECTIVES:In women, aging is associated with profound hormonal changes. Menopause has been implicated in the etiology of urinary tract complaints including incontinence, urgency and recurrent urinary tract infections. However, the use of hormone replacement therapy for these conditions has given conflicting and disapp...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2004.07.004

    authors: Blanchet P,Yaici el-D,Cayzergues L,Giuliano F,Jardin A,Benoit G,Droupy S

    更新日期:2005-01-01 00:00:00

  • Role of Magnetic Resonance Imaging in Prostate Cancer Screening: A Pilot Study Within the Göteborg Randomised Screening Trial.

    abstract:BACKGROUND:Magnetic resonance imaging (MRI) and targeted biopsies (TB) have shown potential to more accurately detect significant prostate cancer compared with prostate-specific antigen (PSA) and systematic biopsies (SB). OBJECTIVE:To compare sequential screening (PSA+MRI) with conventional PSA screening. DESIGN, SET...

    journal_title:European urology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.eururo.2015.12.006

    authors: Grenabo Bergdahl A,Wilderäng U,Aus G,Carlsson S,Damber JE,Frånlund M,Geterud K,Khatami A,Socratous A,Stranne J,Hellström M,Hugosson J

    更新日期:2016-10-01 00:00:00

  • New method of postprostatectomy bladder irrigation.

    abstract::Bacterial filters have been used to sterilise the hospital water supply in order to provide irrigant for postprostatectomy irrigation. This method was compared retrospectively to bladder irrigation derived from a still on the ward. Postoperative bacteriuria was similar in both groups of 75 patients, occurring in 23.7%...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000471532

    authors: MacDermott JP,Ewing R,Gray BK

    更新日期:1989-01-01 00:00:00

  • A different method of evaluation of the ERSPC trial confirms that prostate-specific antigen testing has a significant impact on prostate cancer mortality.

    abstract::The advantages and disadvantages of two different methods of analyzing the European Randomized Study of Screening for Prostate Cancer (ERSPC) trial with respect to the effect of prostate-specific antigen (PSA) screening on prostate cancer (PCa) mortality (ie, disease-specific mortality analysis and excess mortality an...

    journal_title:European urology

    pub_type: 信件

    doi:10.1016/j.eururo.2013.12.055

    authors: Zappa M,Puliti D,Hugosson J,Schröder FH,van Leeuwen PJ,Kranse R,Auvinen A,Carlsson S,Kwiatkowski M,Nelen V,Paez Borda A,Roobol MJ,Villers A

    更新日期:2014-09-01 00:00:00

  • Comparative efficacy and safety of medical treatments for the management of overactive bladder: a systematic literature review and mixed treatment comparison.

    abstract:CONTEXT:Overactive bladder (OAB) treatment guidelines recommend antimuscarinics as first-line pharmacologic therapy. Mirabegron is a first-in-class β3-adrenoceptor agonist licensed for the treatment of OAB and has shown to be well tolerated and effective in the treatment of OAB symptoms. OBJECTIVE:To assess the relativ...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1016/j.eururo.2013.11.010

    authors: Maman K,Aballea S,Nazir J,Desroziers K,Neine ME,Siddiqui E,Odeyemi I,Hakimi Z

    更新日期:2014-04-01 00:00:00

  • Chemical analysis of renal stones from 377 Belgian patients by using qualitative or quantitative methods.

    abstract::The renal stones of 377 patients from the Brussels' area have been studied by chemical methods; 239 stones were submitted to qualitative analysis and the other 138 to a quantitative analysis. The results of the study demonstrate that, in Belgium as well as in other Western countries like the USA and Great Britain, cal...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000473919

    authors: Fuss M,Simon J,Verbeelen D,Weiser M,Van Landuyt P,Elskens I

    更新日期:1978-01-01 00:00:00

  • Metastasectomy in renal cell carcinoma: A multicenter retrospective analysis.

    abstract:OBJECTIVE:In 60-70% of patients with renal cell carcinoma (RCC), metastases develop in the course of the disease. In the present analysis, the surgical management of metastases is described, and survival data are presented. This retrospective analysis may help in the management of future cases. Due to the retrospective...

    journal_title:European urology

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000019849

    authors: van der Poel HG,Roukema JA,Horenblas S,van Geel AN,Debruyne FM

    更新日期:1999-01-01 00:00:00

  • Perioperative outcomes of robot-assisted radical prostatectomy compared with open radical prostatectomy: results from the nationwide inpatient sample.

    abstract:BACKGROUND:Prior to the introduction and dissemination of robot-assisted radical prostatectomy (RARP), population-based studies comparing open radical prostatectomy (ORP) and minimally invasive radical prostatectomy (MIRP) found no clinically significant difference in perioperative complication rates. OBJECTIVE:Assess...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2011.12.027

    authors: Trinh QD,Sammon J,Sun M,Ravi P,Ghani KR,Bianchi M,Jeong W,Shariat SF,Hansen J,Schmitges J,Jeldres C,Rogers CG,Peabody JO,Montorsi F,Menon M,Karakiewicz PI

    更新日期:2012-04-01 00:00:00

  • Acute pancreatitis following transurethral resection of prostate.

    abstract::Three cases of acute pancreatitis following transurethral resection of the prostate are reported. The incidence is rare. A review of perioperative data failed to disclose any unique factor except in 1 patient who had an underlying biliary tract disease. Hyperamylasemia or hyperlipaemia in association with abdominal pa...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000474643

    authors: Lee MH,Chen KK,Lin AT,Lee YH,Chen MT,Chang LS

    更新日期:1993-01-01 00:00:00

  • Systematic review and meta-analysis of studies reporting potency rates after robot-assisted radical prostatectomy.

    abstract:BACKGROUND:Although the initial robot-assisted radical prostatectomy (RARP) series showed 12-mo potency rates ranging from 70% to 80%, the few available comparative studies did not permit any definitive conclusion about the superiority of this technique when compared with retropubic radical prostatectomy (RRP) and lapa...

    journal_title:European urology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.eururo.2012.05.046

    authors: Ficarra V,Novara G,Ahlering TE,Costello A,Eastham JA,Graefen M,Guazzoni G,Menon M,Mottrie A,Patel VR,Van der Poel H,Rosen RC,Tewari AK,Wilson TG,Zattoni F,Montorsi F

    更新日期:2012-09-01 00:00:00

  • Delay in the surgical treatment of bladder cancer and survival: systematic review of the literature.

    abstract:OBJECTIVES:Eighty per cent of the newly diagnosed invasive bladder tumours are invasive from the outset. Half of these patients already have occult distant metastases reflecting the rapid nature of progression. The aim of the current study was to review the literature to determine if delay in cystectomy leads to worse ...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1016/j.eururo.2006.05.046

    authors: Fahmy NM,Mahmud S,Aprikian AG

    更新日期:2006-12-01 00:00:00

  • Evoked response of the bulbocavernosus reflex.

    abstract::The bulbocavernosus reflex can be elicited either by penile or urethral stimulation. The mean signal transit time after electrostimulation of the dorsal penile nerve to evoked response in the anal sphincter (35 msec) was only half the signal transit time after stimulation in the posterior urethra (60 msec). Thus, the ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000473058

    authors: Nordling J,Andersen JT,Walter S,Meyhoff HH,Hald T,Gammelgaard PA

    更新日期:1979-01-01 00:00:00

  • Guidelines on erectile dysfunction.

    abstract::The introduction of new oral therapies has completely changed the diagnostic and therapeutic approach to erectile dysfunction. A panel of experts in this field have developed guidelines for clinical evaluation and treatment based on the review of available scientific information. ...

    journal_title:European urology

    pub_type: 指南,杂志文章,实务指引

    doi:10.1016/s0302-2838(01)00008-2

    authors: Wespes E,Amar E,Hatzichristou D,Montorsi F,Pryor J,Vardi Y,European Association of Urology.

    更新日期:2002-01-01 00:00:00

  • Urethral-sparing Robot-assisted Simple Prostatectomy: An Innovative Technique to Preserve Ejaculatory Function Overcoming the Limitation of the Standard Millin Approach.

    abstract:BACKGROUND:Despite recent technical innovations in the treatment of benign prostatic hyperplasia (BPH), retrograde ejaculation is still one of the most frequent adverse effects, with a major impact on patients' quality of life. OBJECTIVE:To evaluate the efficacy of our technique of urethral-sparing robotic-assisted si...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2020.09.028

    authors: Porpiglia F,Checcucci E,Amparore D,Niculescu G,Volpi G,Piramide F,De Cillis S,Manfredi M,Autorino R,Fiori C

    更新日期:2020-10-05 00:00:00

  • Place of double-J stents in extracorporeal shock wave lithotripsy.

    abstract::Although double-J stents (DJS) are used to reduce complications following extracorporeal shock wave lithotripsy (ESWL), there has recently been a tendency to limit their use because of complications. We retrospectively reviewed 351 patients with renal stones larger than 30 mm to determine the effectiveness and the com...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000474653

    authors: Kirkali Z,Esen AA,Akan G

    更新日期:1993-01-01 00:00:00

  • Clinical experience with the N-shaped ileal neobladder: assessment of complications, voiding patterns, and quality of life in our series of 58 patients.

    abstract:PURPOSE:The purpose of this retrospective study was to assess complications, voiding patterns, and quality of life in patients with an orthotopic bladder substitution, using an N-shaped ileal neobladder. MATERIALS AND METHODS:Between May 1996 and December 2002, 58 patients (52 men and 6 women) underwent an orthotopic ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2004.12.006

    authors: Joniau S,Benijts J,Van Kampen M,De Waele M,Ooms J,Van Cleynenbreugel B,Van Poppel H

    更新日期:2005-05-01 00:00:00

  • The influence of serial sections, immunohistochemistry, and extension of pelvic lymph node dissection on the lymph node status in clinically localized prostate cancer.

    abstract:OBJECTIVES:Pelvic lymph node metastases indicate a poor prognosis for patients with clinically localized prostate cancer. The aim of the study was to investigate the value of extended histopathological techniques considering the extent of pelvic lymphadenectomy and preoperative risk factors. METHODS:Total of 194 patie...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/s0302-2838(02)00450-5

    authors: Wawroschek F,Wagner T,Hamm M,Weckermann D,Vogt H,Märkl B,Gordijn R,Harzmann R

    更新日期:2003-02-01 00:00:00

  • Pharmacological management of incontinence.

    abstract::Many patients with incontinence do not need surgery - for these patients symptoms can often be considerably improved by conservative measures, including drugs. Several different pharmacological actions are potentially useful depending on the underlying cause of the incontinence: a) Detrusor instability (DI) responds t...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1159/000052327

    authors: Sullivan J,Abrams P

    更新日期:1999-01-01 00:00:00

  • A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity.

    abstract:OBJECTIVE:To provide a synthesis of the literature concerning the impact of urinary incontinence on sexual lives of women and the prevalence of urinary incontinence during sexual activity. METHODS:Medline and PsycInfo were searched for all primary epidemiological articles reporting the prevalence of sexual incontinenc...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1016/s0302-2838(02)00401-3

    authors: Shaw C

    更新日期:2002-11-01 00:00:00

  • Retroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma with infrahepatic vena caval thrombus.

    abstract:PURPOSE:The retroperitoneal laparoscopic approach is utilized to treat a right renal tumor with vena caval thrombus reaching infrahepatic veins. MATERIALS AND METHODS:The patient is an 87-year-old woman with a tumor measuring 8 x 9 cm and a vena caval thrombus (7 cm), stretching as far as the subhepatic vein. The retr...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2004.11.010

    authors: Disanto V,Pansadoro V,Portoghese F,Scalese GA,Romano M

    更新日期:2005-03-01 00:00:00

  • Urethral reconstruction using the radial forearm free flap: experience in oncologic cases and gender reassignment.

    abstract:OBJECTIVES:Urethra reconstruction in men remains a complex problem, particularly in patients who have had previous amputation for penile tumour or who have undergone gender reassignment. Many reconstructive techniques currently in use recreate the urethra but are prone to recurrent stricture formation and fail to achie...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2007.01.004

    authors: Dabernig J,Shelley OP,Cuccia G,Schaff J

    更新日期:2007-08-01 00:00:00

  • Effect of lectins on 3H-uridine and 3H-thymidine uptake by cultured renal cell carcinoma and normal renal cells.

    abstract::The effect of lectins on cultured renal cell carcinoma and normal renal cells was studied. Ricin II showed effective inhibition of 3H-uridine and 3H-thymidine uptake by renal cell carcinoma and normal renal cells in all cases. Normal renal cells were more resistant to the inhibitory effect of ricin II as compared to r...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000472595

    authors: Bazeed MA,Becht E,Schärfe T,Schmidt J,Jacobi GH,Thüroff JW

    更新日期:1986-01-01 00:00:00

  • Renal cell carcinoma guideline.

    abstract:OBJECTIVES:The European Association of Urology (EAU) Guideline Group for renal cell carcinoma (RCC) prepared this guideline to help urologists assess the evidence-based management of RCC and to incorporate the guideline recommendations into their clinical practice. METHODS:The recommendations provided in the current g...

    journal_title:European urology

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.eururo.2007.03.035

    authors: Ljungberg B,Hanbury DC,Kuczyk MA,Merseburger AS,Mulders PF,Patard JJ,Sinescu IC,European Association of Urology Guideline Group for renal cell carcinoma.

    更新日期:2007-06-01 00:00:00

  • Modified pubovaginal sling and Martius graft for repair of the recurrent vesicovaginal fistula involving the internal urinary sphincter.

    abstract::A modified Martius graft interposition flap was used in conjunction with the modified pubovaginal sling bladder suspension to treat a recurrent vesicovaginal fistula involving the proximal urethra and bladder neck. The patient recovered with no incontinence, voiding dysfunction or dyspareunia. Incontinence should be a...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000475169

    authors: Ghoniem GM,Monga M

    更新日期:1995-01-01 00:00:00

  • Late recurrence and progression after a long tumor-free period in primary Ta and T1 bladder cancer.

    abstract:OBJECTIVE:To determine the probability and risk factors of recurrence and progression (to T2 or worse) after a long tumor-free period in patients with superficial (stage Ta and T1) bladder cancer. PATIENTS AND METHODS:A consecutive series of 100 patients with superficial bladder cancer who remained tumor-free for long...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000020010

    authors: Fujii Y,Fukui I,Kihara K,Tsujii T,Kageyama Y,Oshima H

    更新日期:1999-10-01 00:00:00