XXXX : critical study of the organic basis of high maintenance flow rates during artificial erection test.

@entity1 @entity323 @entity73 @entity16 @entity432 @entity1211
We tested whether the necessity for high flow rates of saline to maintain an artificial erection actually corresponds to an organic abnormality able to induce @entity323 as claimed recently. A total of 56 @entity1 with presumed vascular @entity323 and 13 with typical @entity323 underwent dynamic cavernosography followed by the artificial erection test. The former 56 @entity1 also underwent bilateral selective internal iliac arteriography. A severely elevated maintenance flow rate (more than 120 ml. per minute) was found in 19 of the 56 @entity1 with vascular and none of the 13 with @entity323 , while a moderately elevated maintenance flow rate (80 to 120 ml. per minute) was found in 11 and 3, respectively. In most cases a severely elevated maintenance flow rate was associated with arterial (16 @entity1 ) or @entity16 able to disturb erection. However, a severely elevated maintenance flow rate seemed to correspond to an organic abnormality able to induce @entity323 or to worsen erectile failure induced by other organic factors. Indeed, we found no severely elevated maintenance flow rates among our 13 @entity1 with @entity323 and the nocturnal penile tumescence test was normal in only 1 of 12 tested @entity1 , although 7 had no other @entity73 sufficient to induce @entity323 (only moderate arterial stenoses in 4). In addition, sexual treatment succeeded in only 1 of the 13 @entity1 , while our success rate is 43 per cent among @entity1 with arterial @entity323 exclusively and this treatment succeeded in 6 of 10 @entity1 with a moderately elevated maintenance flow rate. On the contrary, a moderately elevated maintenance flow rate does not seem to correspond to a genuine organic abnormality able to induce @entity323 . Indeed, we found it in 3 of 13 @entity1 with @entity323 , and every @entity1 with a moderately elevated maintenance flow rate and normal arteries had a normal nocturnal penile tumescence test or was cured by sexual therapy. In conclusion, a maintenance flow rate exceeding 120 ml. per minute seems to reveal a genuine @entity1211 but in most cases this abnormality is only the cofactor of an @entity432 .
