Combining programmed intracavernous PGE1 injections and sildenafil on demand to salvage sildenafil nonresponders.

Abstract:

:In a prospective, placebo-controlled, one group crossover design study, we tested whether adding programmed intracavernous PGE1 injections (IC-PGE1) can improve the effectiveness of sildenafil in erectile dysfunction (ED) patients unresponsive to monotherapy with this drug. In all, 40 ED patients who had experienced unsatisfactory erections with both the 50 and 100 mg sildenafil doses were treated with four bi-weekly 20 microg IC-PGE1 injections given in the clinic and provided with either placebo or 50 mg sildenafil capsules for the next 4 weeks. Thereafter, they were crossed over to the other oral treatment for an additional 4-week period. The IIEF-Erectile Function domain score (IIEF-EFS), the main outcome measure, was found considerably higher (P<0.001) with the combined IC-PGE1-50 mg sildenafil treatment than with IC-PGE1-placebo or sildenafil alone (50 or 100 mg) in a subset of 26 subjects (65%). They thus shifted from the 'severe' or 'moderate' to the 'mild' grading of ED classification.

journal_name

Int J Impot Res

authors

Gutierrez P,Hernandez P,Mas M

doi

10.1038/sj.ijir.3901290

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

354-8

issue

4

eissn

0955-9930

issn

1476-5489

pii

3901290

journal_volume

17

pub_type

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