Clinical reliability of multi-drug intracavernous vasoactive pharmacotherapy for diabetic impotence.

Abstract:

:The aim of this study was to assess the effectiveness and safety of intracavernous injections of a four-drug vasoactive mixture in diabetic patients with organic impotence. A group of 60 diabetic patients with either pure neurogenic, pure vasculogenic or mixed neurovasculogenic impotence were treated with intracavernous injections of a combination of 12.1 mg/ml papaverine hydrochloride, 1.01 mg/ml phentolamine mesylate, 10.1 micrograms/ml prostaglandin E1 and 0.15 mg/ml atropine sulphate ('full-dose' mixture). A mixture of the same drugs but at one-third concentrations ('reduced-dose' mixture) was also used. The mean (+/- SEM) volumes of the full-dose and reduced-dose mixtures used were 0.21 +/- 0.03 ml and 0.31 +/- 0.02 ml, respectively. All the patients were able to sustain a rigid erection at the end of the titration phase of the study. At a mean follow-up of 18 months, 48 patients (80%) were successfully using the mixture, 6 patients (10%) were using the mixture at a dose lower than the initial dose and 6 patients (10%) had dropped out from the injection therapy. No major complications were seen. The association of multiple vasoactive drugs which use different mechanisms of action, thus exerting a pharmacological synergism, is an effective and safe procedure in intracavernous pharmacotherapy for diabetic patients with organic impotence.

journal_name

Acta Diabetol

journal_title

Acta diabetologica

authors

Montorsi F,Guazzoni G,Bergamaschi F,Zucconi M,Rigatti P,Pizzini G,Miani A,Pozza G

doi

10.1007/BF00580752

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

1-5

issue

1

eissn

0940-5429

issn

1432-5233

journal_volume

31

pub_type

杂志文章
  • MicroRNA-126 and micro-/macrovascular complications of type 1 diabetes in the EURODIAB Prospective Complications Study.

    abstract:AIMS:Increasing evidence suggests a potential role of circulating miRNAs as clinical biomarkers, and loss of miRNA-126 has been proposed as a predictor of type 2 diabetes onset. However, a systematic analysis of circulating miRNAs in type 1 diabetic patients with micro-/macrovascular complications has not yet been perf...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-016-0915-4

    authors: Barutta F,Bruno G,Matullo G,Chaturvedi N,Grimaldi S,Schalkwijk C,Stehouwer CD,Fuller JH,Gruden G

    更新日期:2017-02-01 00:00:00

  • Hyperglycemia and diabetes mellitus are related to vestibular organs dysfunction: truth or suggestion? A literature review.

    abstract::Diabetes mellitus is an independent risk factor for falling, particularly in the elderly. Due to chronic hyperglycemia and hyperinsulinemia patients with diabetes mellitus may have neurological deficits as peripheral neuropathy that is a debilitating micro-vascular complication affecting the proximal and distal periph...

    journal_title:Acta diabetologica

    pub_type: 杂志文章,评审

    doi:10.1007/s00592-018-1183-2

    authors: Gioacchini FM,Albera R,Re M,Scarpa A,Cassandro C,Cassandro E

    更新日期:2018-12-01 00:00:00

  • Breastfeeding is protective to diabetes risk in young adults: a longitudinal study.

    abstract:AIM:It is unclear whether any breastfeeding or a certain duration of breastfeeding is protective against the development of diabetes in adult offspring. METHODS:We followed a sub-sample of 3,595 offspring born in the Mater Hospital in Brisbane, Australia between 1981 and 1983 and for whom we had doctor diagnosed self-...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-014-0690-z

    authors: Al Mamun A,O'Callaghan MJ,Williams GM,Najman JM,Callaway L,McIntyre HD

    更新日期:2015-10-01 00:00:00

  • Screening for diabetes using HbA1c in elderly subjects.

    abstract::The objective of the study was to determine the prevalence of known diabetes among elderly subjects receiving nursing care in a north Norwegian population, to screen for new cases using HbA1c measurement and to evaluate the quality of care for those with diabetes. Men and women, with and without known diabetes, above ...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-006-0212-8

    authors: Jorde R,Hagen T

    更新日期:2006-08-01 00:00:00

  • Total bilirubin is inversely associated with metabolic syndrome but not a risk factor for metabolic syndrome in Japanese men and women.

    abstract::Serum total bilirubin (TB) is a potent antioxidant and inversely associated with metabolic syndrome (MetS) in Asian populations. However, there has been no study which is aimed to investigate whether TB is a risk factor for MetS or not. We investigated cross-sectional and longitudinal associations between TB and MetS ...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-012-0447-5

    authors: Oda E,Aizawa Y

    更新日期:2013-06-01 00:00:00

  • Urinary angiotensin-converting enzyme activity in type 2 diabetes mellitus: its relationship to diabetic nephropathy.

    abstract::Urinary angiotensin-converting enzyme (ACE) and urinary N-acetyl-beta-D-glucosaminidase (NAG) were measured after a 5-year interval in 38 non-azotemic type 2 diabetic patients. Of these patients at baseline, 16 had nil nephropathy, 15 had incipient nephropathy, and 7 had overt nephropathy. During the follow-up, 6 and ...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/BF00838491

    authors: Miyauchi E,Hosojima H,Morimoto S

    更新日期:1995-10-01 00:00:00

  • Glycation of insulin results in reduced biological activity in mice.

    abstract::Bovine insulin was glycated by in vitro incubation with 20-220 mM D-glucose for 1-48 h. The percentage of glycation was dependent on time, glucose concentration, temperature and pH, attaining values up to 28%. Glucose-lowering activities of glycated and control (non-glycated) insulin preparations were assessed in mice...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s005920050086

    authors: Abdel-Wahab YH,O'Harte FP,Boyd AC,Barnett CR,Flatt PR

    更新日期:1997-12-01 00:00:00

  • Incidence of hospitalization and mortality in patients with diabetic foot regardless of amputation: a population study.

    abstract:AIMS:The aim of our study was to estimate the overall rate of first hospitalizations for diabetic foot (DF) regardless of the outcome in amputations, as well as the mortality rate with their determinants in the period 2012-2016 in Piedmont Region in Italy. METHODS:The study included all the subjects registered in the ...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-019-01412-8

    authors: Monge L,Gnavi R,Carnà P,Broglio F,Boffano GM,Giorda CB

    更新日期:2020-02-01 00:00:00

  • Glycemic variability indices can be used to diagnose islet transplantation success in type 1 diabetic patients.

    abstract:AIMS:High glycemic variability (GV) is the major indication for islet transplantation (IT) in patients with type 1 diabetes (T1D). The actual criteria used to assess graft function do not consider GV improvement. Our study aimed to describe GV indices' evolution in T1D patients who benefited from IT during the TRIMECO ...

    journal_title:Acta diabetologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00592-019-01425-3

    authors: Jalbert M,Zheng F,Wojtusciszyn A,Forbes F,Bonnet S,Skaare K,Benhamou PY,Lablanche S,TRIMECO Study Group.

    更新日期:2020-03-01 00:00:00

  • Early changes in glial reactivity and lipid peroxidation in diabetic rat retina: effects of melatonin.

    abstract::Diabetes mellitus, the most common serious metabolic disorder, is characterized by functional and structural changes in the peripheral and central nervous systems. Glial cells provide structural and metabolic support for retinal neurons. During diabetes, one of the early pathogenic events is retinal glial reactivity. ...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-004-0155-x

    authors: Baydas G,Tuzcu M,Yasar A,Baydas B

    更新日期:2004-09-01 00:00:00

  • The prediction of single-frequency BIA variables from individual characteristics.

    abstract::To define whether reference values for bioimpedance analysis (BIA) can be predicted in healthy individuals, individual characteristics and BIA variables (resistance index=height(2)/parallel resistance and reactance index= height(2)/parallel reactance) were evaluated in non-obese healthy individuals: 863 men and 769 wo...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-003-0073-3

    authors: Bellizzi V,Scalfi L,Terracciano V,Marra M,Di Iorio B

    更新日期:2003-10-01 00:00:00

  • Prospective study of cytomegalovirus seropositivity and risk of mortality from diabetes.

    abstract::Cytomegalovirus (CMV) infects 40 % of the world population and has been suggested to be associated with diabetes; however, no prospective study has ever examined diabetes mortality associated with the infection. A cohort of 14,404 non-diabetic adult participants aged 17-90 years from the Third National Health and Nutr...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-014-0573-3

    authors: Mendy A,Gasana J,Vieira ER,Diallo H

    更新日期:2014-10-01 00:00:00

  • Real-world adherence, persistence, and in-class switching during use of dipeptidyl peptidase-4 inhibitors: a systematic review and meta-analysis involving 594,138 patients with type 2 diabetes.

    abstract:AIMS:Medication adherence and persistence are important determinants of treatment success in type 2 diabetes mellitus (T2DM). This systematic review and meta-analysis evaluated the real-world adherence, persistence, and in-class switching among patients with T2DM prescribed dipeptidyl peptidase-4 (DPP4) inhibitors. ME...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-020-01590-w

    authors: Ogundipe O,Mazidi M,Chin KL,Gor D,McGovern A,Sahle BW,Jermendy G,Korhonen MJ,Appiah B,Ademi Z,De Bruin ML,Liew D,Ofori-Asenso R

    更新日期:2021-01-01 00:00:00

  • The incidence rate and prevalence of pediatric type 1 diabetes mellitus (age 0-18) in the Italian region Friuli Venezia Giulia: population-based estimates through the analysis of health administrative databases.

    abstract:AIMS:The main objective of this study was to estimate the incidence rate and prevalence of pediatric type 1 diabetes mellitus (T1DM; population 0-18 years of age) in the northeastern Italian region Friuli Venezia Giulia and to characterize the subjects affected by the disease. METHODS:This was a retrospective populati...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-016-0854-0

    authors: Valent F,Candido R,Faleschini E,Tonutti L,Tortul C,Zanatta M,Zanette G,Zanier L

    更新日期:2016-08-01 00:00:00

  • Association between resting heart rate and incident diabetes risk: a Mendelian randomization study.

    abstract:AIMS:Observational studies indicated that resting heart rate (RHR) was associated with diabetes mellitus (DM) risk; however, it remains unclear whether the association between RHR and DM is causal. We aimed to examine whether there was causal association of RHR with DM risk. METHODS:A prospective study including 16,20...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-019-01344-3

    authors: Long T,Wang J,Han X,Wang F,Hu H,Yu C,Yuan J,Yao P,Wei S,Wang Y,Liang Y,Miao X,Zhang X,Guo H,Zheng D,Tang Y,Yang H,Huang S,He M

    更新日期:2019-09-01 00:00:00

  • Effect of vitamin E supplementation on HDL function by haptoglobin genotype in type 1 diabetes: results from the HapE randomized crossover pilot trial.

    abstract:AIMS:Haptoglobin (Hp) genotype 2-2 increases cardiovascular diabetes complications. In type 2 diabetes, α-tocopherol was shown to lower cardiovascular risk in Hp 2-2, potentially through HDL function improvements. Similar type 1 diabetes data are lacking. We conducted a randomized crossover pilot of α-tocopherol supple...

    journal_title:Acta diabetologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00592-015-0770-8

    authors: Costacou T,Levy AP,Miller RG,Snell-Bergeon J,Asleh R,Farbstein D,Fickley CE,Pambianco G,de la Vega R,Evans RW,Orchard TJ

    更新日期:2016-04-01 00:00:00

  • Glucokinase deficit and birthweight: does maternal hyperglycemia always meet fetal needs?

    abstract:AIMS:Many authors do not recommend hypoglycemic treatment during pregnancy in women affected by monogenic diabetes due to heterozygous glucokinase (GCK) mutations (MODY 2) in case of affected fetus, because maternal hyperglycemia would be necessary to achieve a normal birthweight. We aimed to evaluate differences in bi...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-018-1198-8

    authors: Bitterman O,Tinto N,Franzese A,Iafusco F,Festa C,Mozzillo E,Napoli A,Iafusco D

    更新日期:2018-12-01 00:00:00

  • Enhancement of the gluconeogenic flux of hepatic glycogen repletion by a phenacyl imidazolium compound in vivo.

    abstract::The effect of a phenacyl imidazolium compound (LY177507 or Proglycosyn, Eli Lilly) on the direct (glucose-->glucose-6-phosphate-->glycogen) and indirect (three-carbon compounds-->glucose-6-phosphate-->glycogen) pathways of liver glycogen synthesis was studied in conscious rats. [1-13C]Glucose (99% enriched) was infuse...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/BF00578216

    authors: Cline GW,Greenawalt K,Shulman GI

    更新日期:1993-01-01 00:00:00

  • Fasting, non-fasting glucose and HDL dysfunction in risk of pre-diabetes, diabetes, and coronary disease in non-diabetic adults.

    abstract::We determined in non-diabetic persons the risk of fasting and non-fasting glucose levels for pre-diabetes, diabetes, and coronary heart disease (CHD), including the roles of serum C-reactive protein (CRP) and HDL cholesterol, and delineated risk profiles of the pre-diabetic states. Over 7¼ years, 2,619 middle-aged Tur...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-011-0313-x

    authors: Onat A,Can G,Çiçek G,Ayhan E,Doğan Y,Kaya H

    更新日期:2013-08-01 00:00:00

  • New single-nucleotide polymorphisms associated with differences in platelet reactivity and their influence on survival in patients with type 2 diabetes treated with acetylsalicylic acid: an observational study.

    abstract:AIMS:Genetic polymorphisms may contribute to platelet reactivity in diabetic patients; however, the information on their influence on long-term antiplatelet therapy is lacking. Our aim was to evaluate the role of previously described genetic variants and platelet reactivity on risk of all-cause mortality and cardiovasc...

    journal_title:Acta diabetologica

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1007/s00592-016-0945-y

    authors: Milanowski L,Pordzik J,Janicki PK,Kaplon-Cieslicka A,Rosiak M,Peller M,Tyminska A,Ozieranski K,Filipiak KJ,Opolski G,Mirowska-Guzel D,Postula M

    更新日期:2017-04-01 00:00:00

  • Effects of type 2 diabetes mellitus on plasma fatty acid composition and cholesterol content of erythrocyte and leukocyte membranes.

    abstract::Insulin resistance is a major factor in the pathogenesis of type 2 diabetes mellitus (T2DM) and is related to the fatty acid profile of the plasma membranes. The purpose of the present study was to investigate fatty acid composition and cholesterol content of cell membranes in patients with type 2 diabetes and, thus, ...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-007-0224-4

    authors: Bakan E,Yildirim A,Kurtul N,Polat MF,Dursun H,Cayir K

    更新日期:2006-12-01 00:00:00

  • Clinical manifestation and islet β-cell function of a subtype of latent autoimmune diabetes in adults (LADA): positive for T cell responses in phenotypic type 2 diabetes.

    abstract:AIMS:To investigate the possibility of identifying a subtype of latent autoimmune diabetes in adults (LADA), T-LADA (T cell responses-positive and autoantibody-negative) from patients with phenotypic type 2 diabetes (T2D) by enzyme-linked immunospot (ELISPOT). METHODS:Eighty-two patients with phenotypic T2D were studi...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-019-01391-w

    authors: Liang H,Cheng Y,Tang W,Cui Q,Yuan J,Huang G,Yang L,Zhou Z

    更新日期:2019-11-01 00:00:00

  • Differences in self-monitored, blood glucose test strip utilization by therapy for type 2 diabetes mellitus.

    abstract:AIMS:To determine whether blood glucose test strip (BGTS) utilization in patients with type 2 diabetes (T2D) is associated with the type of diabetes therapy, classified according to hypoglycemic risk. METHODS:A retrospective, longitudinal (2006-2012) study of Canadian private drug plans (PDP) and Ontario Public Drug P...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-015-0823-z

    authors: Tavares R,Duclos M,Brabant MJ,Checchin D,Bosnic N,Turvey K,Terres JA

    更新日期:2016-06-01 00:00:00

  • Cobalamin status and its relation with depression, cognition and neuropathy in patients with type 2 diabetes mellitus using metformin.

    abstract:AIMS:To investigate the associations of vitamin B12 (cobalamin and holotranscobalamin) status with depression, cognition and neuropathy in patients with type 2 diabetes using metformin. METHODS:In an observational study, among 550 type 2 diabetes patients using metformin, cobalamin and holotranscobalamin (holoTCII) le...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-014-0661-4

    authors: Biemans E,Hart HE,Rutten GE,Cuellar Renteria VG,Kooijman-Buiting AM,Beulens JW

    更新日期:2015-04-01 00:00:00

  • Bacterial diversity and inflammatory response at first-time visit in younger and older individuals with diabetic foot infection (DFI).

    abstract:AIM:Infection of a diabetic foot ulcer (DFU) is common. More than the half of DFUs become infected and 15-20% of them necessitate amputation in course of treatment. Diabetic foot infection (DFI) is therefore the major cause for non-traumatic lower limb amputation in Germany. Prompt and effective treatment of DFI is man...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-020-01587-5

    authors: Dörr S,Freier F,Schlecht M,Lobmann R

    更新日期:2020-09-17 00:00:00

  • Starting bedtime glargine versus NPH insulin in poorly controlled type 2 diabetic patients with various hyperglycemia types (fasting type or postprandial type).

    abstract::Our aim was to compare the effects of an intermediate acting human insulin (NPH) and a long-acting insulin analog, insulin glargine, in insulin naïve type 2 diabetes patients, stratified by the type of hyperglycemia (fasting or postprandial type). Based on different action profiles, we hypothesized that patients havin...

    journal_title:Acta diabetologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00592-013-0505-7

    authors: Vähätalo MA,Viikari J,Rönnemaa T

    更新日期:2014-04-01 00:00:00

  • The ONTARGET/TRANSCEND Trial Programme: baseline data.

    abstract::Cardiovascular risk is determined by multiple risk factors, all of which greatly increase the chance of morbidity and mortality. So-called "normal" levels of these factors are not biologically normal, so current strategy is based on estimations of a person's global cardiovascular risk, and then using appropriate combi...

    journal_title:Acta diabetologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00592-005-0181-3

    authors: Sleight P

    更新日期:2005-04-01 00:00:00

  • Increased risk of severe diabetic ketoacidosis among Jewish ultra-orthodox children.

    abstract:AIMS:Diabetic ketoacidosis (DKA) at diabetes diagnosis is a dangerous yet potentially preventable condition. Young age, low socioeconomic status, and low parental education have been found to be associated with increased risk of DKA. We aimed to evaluate the impact of religious affiliation on presentation with DKA at t...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-014-0653-4

    authors: Gruber N,Reichman B,Lerner-Geva L,Pinhas-Hamiel O

    更新日期:2015-04-01 00:00:00

  • Body composition changes following laparoscopic gastric banding for morbid obesity.

    abstract::Most reports of outcome following obesity surgery report weight and co-morbidity changes only. We studied body composition changes in 17 adult patients (15 F, 2 M, age 43+/-2 years, range 28-58 years), with morbid obesity (initial BMI 40.4+/-4.9 kg/m(2), range 34.7-48.8) who were managed surgically by laparoscopically...

    journal_title:Acta diabetologica

    pub_type: 杂志文章

    doi:10.1007/s00592-003-0083-1

    authors: Strauss BJ,Marks SJ,Growcott JP,Stroud DB,Lo CS,Dixon JB,O'Brien PE

    更新日期:2003-10-01 00:00:00

  • Comparison of insulin monotherapy and combination therapy with insulin and metformin or insulin and rosiglitazone or insulin and acarbose in type 2 diabetes.

    abstract::The aim of this study was to compare the efficacy of treatment with insulin alone, insulin plus acarbose, insulin plus metformin, or insulin plus rosiglitazone in type 2 diabetic subjects who were previously on insulin monotherapy, and to evaluate the effects of these treatments on cardiovascular risk factors includin...

    journal_title:Acta diabetologica

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00592-007-0004-9

    authors: Yilmaz H,Gursoy A,Sahin M,Guvener Demirag N

    更新日期:2007-12-01 00:00:00