Single Potential Analysis of Cavernous Electrical Activity

Autor: H. Feistner, Hong-Kie Tan, Mohamad H. Djamilian, Udo Jonas, Michael C. Truss, C.G. Stief, H. Hinrichs
Rok vydání: 1993
Předmět:
Zdroj: European Urology. 24:358-365
ISSN: 1873-7560
0302-2838
DOI: 10.1159/000474329
Popis: Since the recent introduction of cavernous electromyography by Gerstenberg and Wagner, a new too for the study of erectile dysfunction in man is available. The refinement of this method, single potential analysis of cavernous electrical activity (SPACE), offers a straightforward approach to the diagnosis of cavernous autonomic neuropathy and smooth muscle myopathy by minimal invasive means. SPACE was done in more than 500 consecutive patients with erectile dysfunction and in 85 normal control subjects. With increasing experience the methodology was refined with respect to the used hardware as well as cut-off frequencies. In normal control subjects, SPACE showed a reproducible regular activity with potentials of low frequency and electrical silence inbetween. The potentials were synchronous throughout the cavernous bodies. In patients with peripheral autonomic denervation, asynchronous potentials with higher frequencies and irregular shape were found. Normal and abnormal potentials were found in patients with upper spinal cord lesions. Recordings obtained with surface electrodes showed similar characteristics when compared with recordings obtained with needle electrodes. Recent studies show that SPACE provides independent information about the autonomic and myogenic intactness of the cavernous tissue. Currently, a computerized expert system and a graded classification for easier interpretation is being developed with first results. We conclude that cavernous electrical activity can be recorded. SPACE is a reproducible diagnostic tool for erectile dysfunction.
Databáze: OpenAIRE
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